HomeMy WebLinkAboutPermit Electrical 1998-7-7
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S_CFIEL~
The fOllowing proJect
ZonIng. and cJooo as submitted hila tho fnll.....<.._
epprQ\leJ. not requ//Il Gpec/ffo IMd u;;'"" 'll
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225 FIFTH STREET ~ ...q r/ ,ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Date -7 ^
INSPECTION REQUEST: 726-376~uthorfzed ~nature l'I V\. Ci ty Job Numb,:r. ~O '!>72
OFFICE: 726-3759 ~V\
3. COMPLETE FEE SCm:oULE BELOll
1. LOCATION OF INSTALLAT!QN
7?',? ~A~-'- 7?~
LEGAL DESCRIPTION
1?6-=3,'2.'2~. ~o
, .
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
. A.
Items Cos t
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'Dwelling'
Service or Feeder
JOB DESCRIPTION /L ~
~. ~~-~ -H-:R".> ~
,~ ,. (;- .
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocatian:
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Con tractar-A,.LLU:X- t::.le<:,.'\ytc
Address 1~C1cc> ~l ~;V~
City ~.Qf'S).J Ph~ne &88-&/::21
Supervisor License Number ~~
Expiration Date /O/()f/qe.
Constr Contr. Number.;:;o-J19(f,
/O/Ol/qp..
$ 50.00 /~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less ~
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
volts see "Bn above
200 amps' 'oor less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or. 1000
Expiration Date
Signaturecsupervising Electrician
, J_
. /" NY17HMv fJI.i,u As
Owners Name ~2s. z:J..,;r:,L/('" ~ ~.c ;.
Address 5'~C;- M/~L .:7-7.
/
Ci ty ~~ L4l? Phone 7:2t::-":J2.~
,. / ,-
OllNER INSTALf:{rtd"~.
Branch Circuits
"
New, Alteration or Extension Per Panel
,One Circui t $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ;so'3 $ 2'.00 ~
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovners.Signature:
-,
::</~ .4C>
6.~
/.2J.~6
23''5f. ".2..s:2'
5. SUBTOTAL OF ABOVE
57. State Surcharge.
37. Administrative Fee
TOTAL
DATE: ?-?_ ?Z
RECEIPT #: "'3c:::>"::~~
RECEIVED BY: ~ _..,....... . ...