HomeMy WebLinkAboutPermit Electrical 1997-10-1
The, following project as submitt~d rJ.s tn.:: fo;'n-',in
zonIng, and does not require SP$Ci'.j-. I"'n.': ".' .';J
approval. . ... ,-. ... '"'~'-
225 FIFTH STREET Zoninp
SPRINGFIELD, OREGON 97477 OateJ 0_ 1-C,1.
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 ,'Authorized Slgnalu.a
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DES<;RWION ~
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
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ELECTRICAL PERMIT APPLICATION
City Job Number
Q7,.,R//
f'Y'^
3. COMPLETE n;t;. SCHEDULE BELO\l
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular.Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B. Services or Feeders
/ ~ Installation, Alterations
Electrical Contractor C 1'1-';1 !//ew /-3'Jc: or Relocation:
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Address PO, 80)( 7tJ.5'9....5' 200 amps 9~i~~' ~O"" -q $ 50.00
201 a!JIAA'r-'tO' !!~Q\ iJrtps $ 60.00
City bv-'9--";~' Phone..,tI_j'-6.P;"~04,QiI.Uil-'fuPS,~c!.l?~tr~ / $100.00
/ w.\J' N-~'O'O~r-e'l'P~'toMW0 amps $130.00
Supervisor L.icense Number ? /9~:5' \\c.V<;;'~ xfl~'1<\.~~~s/volts $300.00
\' u..O'r-\'V ''Re~-m,'Ct Only $ 40.00
Expiration Date /0 -/- 9.s1" r..~~" ~C<;;''i) .Q...\0'i) ,
o:>~'@~ ~. ~ J..c ry Services or Feeders
Constr Contr. Number? L "Iii . ~{lOI)~stallatiOnt Alteration or Relocation
Expiration Date ,//-/,5'.. 9.a. 200 amps"or less / $ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see ItBIt above
Signature of Supervising Electrician
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Owners Name -'7FP-1!? LI.M~?,A'-.??T
Address~ ,# /7'1A~ ..f!~
Ci ty Jk~ft~ ,e>~. Phone ?7'/- y/.,( ."9'6'2.,
~1lNER INST~~
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE: /t:>-./-9?
RECEIPT #: -:z.?,~h~
RECEIVED BY: /A./~
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Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 /42
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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