HomeMy WebLinkAboutPermit Electrical 1996-4-30
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SPRINGFIELD
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The. following project aa oubmitted has the fall
zowng, and does not require specific land us<:
approval.
225 FIPTD STREET lonino t C- ELECTRICAL PEIU!rr APPLICATION
. SPRINGFIELD, OREGON 97477 Ii - / _ ... 1\ r\n nil
INSPECTION REQUEST: 726-3'769-:r -,30-'1,.1<7 City Job Number. VI. \0\ iL_ IL/\
OFFICE: 726-3759 Authorized Signatu",_S If') __..
. . ~PLnK-IlBB-SCHEDULE BELOV
1.. LOCATIO~ OF INSTALLATION .. .
lo~<f PMtlUJt,u ICo,(J{) . A. New Residential-Single or
\1Do'L2ffi NJ'3)5 Hulti-Family per dwelling unit.
LEGAL DESCRIPTION lJ'-. Service Included:
'1e:-N,yrt IN (bA'fe-w'4<t R-.t:J7A H~...,- Items Cost Sum
JOB DESCRIPTION
/ ~ PaN (;'r:/,a/VoIV~ ~ 50
Permits are non-transferable and expire
if work is not started within 180.days
of issuance or if work is. suspen!led for
.180 days.
2. CONTRACTOR INSTALLATI!)N ONLY
Electrical Contractor H.A1Z:r7N ~.s.
Address ZoL/ .J~s.()J
Ci ty 6... 6__"u_ Phone:J1i_ . \1] tfI
Supervisor License Number L\?J~~~
Expiration Date \n . \ .qf")
1500 sq.ft. or less
Each additional 500.
sq. ft or. portion-
thereof
Each Hanuf'd Home or
Modular Dwelling
Service.or Feeder
$ 85.00
$ 15.00
$ 35.00
.B. Services or Feeders (10 Branch Circuits
inclUded). Installation, Alterations
or.Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
. Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
Constr Contr. Number b<f(,./Y;
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
~/"'1
Signature of Supervising Electrician
. ~.-=- ~ :f-4?J
owners' Nam~~r1(
Address~4 m J\\.a!tJ .
City~~ ... Pho~e CA~l+
~STALLATION
The installation is being made on
property .1 own which is not intended
for sale, lease or rent.
Owners Signature:
~~T~~- _ t( ---~fj=-q.{..,
RECEln i: '2, ~'2, (7
RECEIVED BY: IV
200 amps or less.
201 amps to 400 amps
Over 401. to. 600. amps
Over 600 amps or:1000 volts
D.
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
E,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$.50.00
$ 15.00.
not included)
$ 36.00
$~. %-.<to!O
.4[).
$ 36.00
AT\Q)
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