HomeMy WebLinkAboutPermit Electrical 1999-3-3
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SPRINGFIELo
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225 FIFTH STREET ,~.p c\\,c ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON 97477 ~e'>)~e~~
INSPECTION REQUEST: 726-37~~0\\elli ity Job Nwnber.!:Lq ()2 q 0
OFFICE: 726-3759 ~~~~ee
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1. LOCAT);ON ,0' INS~~,1\J; ~9~~~
:2 3AJD H IWd ~}lQQ\'f3fJ;e 'if. (' New Residential-Single or
- ~ ~~~' Multi-Fami~~tP'er dwelling unit.
~GAL DESCRIPTIOJ{~?,'I#.. 0 ",\~ Service tnq:)..y~~d'PN:Or"
I I tf2. 'lU on - w, J ~",@Notifica/'es adopf,qWihSlw reqcos t Sum
_ - l" m OAR IOn Cent ed by th U/fes Yo
JOI}. DESquPTION I ' ,1000 sqOji~. g~-r<!!s~er:Those r~OMJ!fJOu ~!o
1/n P M flAVVlA-Ci' $' ,Ie) ;JOJ A/Y\ j)5( .1//.cE-Bach add:iJiij.,VlIaib~7'~ mrou9h es are se/~I#y-
Q , ' sq. f t)L9,fb Pb'tlt?i.:.~'ht am cOPies OAR 952. Orth
Permits are non-transferable and expire thereof erfortheOer. (Not",,! ~fttf;,).RR, 001_
if work is not started within 180 days Each Manuf'cf-EHQ.~Ej o'fiyonUtirhetelepho esey---
of issuance or if work is suspended for ' Modular Dwellinl1'SQQ'332 Ity Notificat?e, - ,
180 days. Service or Feeder -23$4pO.u50n
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor j)f 11'5 [/~c-rR:c-
Ii), 13 t/X J 5 '7() '7
Ci ty (C L.l g 't..hr_ Phone i'iV - ;I 5t/9
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Supervisor License Number U '79 -5
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I09'i?tb4
1-;;23-DI
Address
Expiration Date
Constr Contr. Number
Expiration Date
Signature of
DJ~
Supervising Electrician
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Owners Name :JO'i.. -PKj)cI~' J"\
Address ;)~lJi) 1~4~de-1'\ ~S
Ci ty <:DP:,"A. H €/cI Phone .1..46 - ;2/'7./ /
, 0 r..q.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~~~~]~~-~~-~~--------~
RECEIVED BY: x: .1'0 ()V!: -'-
V
C.
Services or Feeders
Installation, Alterations
or Relocation:
kIJ07'f..:;;:. I ,---; ,;1
200 amp~~or~less $ 50.00 70,OLJ
201 amp~ }:'o 140qll~.B~ $ 60.00
401 arr;ps/, to)~~,9.o~ amps'.! f:v~" $100.00
601 amps.,to., ~_OOOU1!'ll!S," 'r/I: ~l:i!1Q,: 00
Over 10.00 amps/y,ql tf" 'H/,<;: DI:WjOO~ fJ0]Rr
Reconnec t Only , Ii IS 4f:l.... '$tvf!i,O/-,OO .
"'" t '<, "''-'UN'''' "/VOl
~. ..0-' ' cD F,
Temporary Services or Feeders OR
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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