HomeMy WebLinkAboutPermit Electrical 1997-3-25
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The. following project as submitt~d hcs tho 101l0,,';ng
225 ~ ~r &0 STREET 7.onrng, rind does not roquire specific lend uz')
SPRINGFIElD, OREGOlfr9'7417 /l
IlfSPECrION REQuEsT: 726...3169 U:)
OFFICE: 726-3759r..,., 3.... 2.. ("....~
1./ LOCATION OF .1NSTALl:AtIONu;a-0.l-\A
Y'I.Ci 7nIt-IN ~, _ \
~ O!:S~b...~k/Al1GL~s) ,
)~ noS 6S 37" n9300
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JOB DES'~:;~ .
rN~h44 -1 , ~ /N/ilBW W!JiL
~~no 1)J:>rS/;, I
Permits ate non-transf~rable and expire
if work is not started'within 180 days
of issuance or if, work is suspe~ed for
180 days.
IlLECTRICAL PERHIT Al'PLICAnON
City JobNWllb8r q]O'd-J 0
3. COHPLBTE rEf; SCHEDULE IlELOV . ~
A. New Residential-Single or '
Multi-Family per dwelling Unit.
Servi~e Included:
Items Cost Sum
1000 sq.ft. or less
Each additional'SOO
sq. ft or portion
thereof
Each Kanuf'd'Uome or
Hodular Dwellin, '.
Service or Feeder
$ 85.00
. $ 15.00
$ 40.00
2. ..........-.AcrOR INSTALLATION ONJ,.Y B.
Electrical Contractorl-.Jf<., (?~bh11m,.Irm.-
Address Ip~ UJ. 01 q "-btK. .
City ~ to yd' Phone llf7 ,(P(P3~
Super.visor License NUlllber /4735
10/'/0,1
Expiration Date
Cons t r Con t r. Number O~ 0'1 q
f)--/Ig/Cn
I '
Expiration Date
I
Si~re of Supervising Electrician
......~dA~
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Owners N::e .I:xrn t~hne-
Address ;;'';;'0 /I/O. Sf(
5fJ <<ct. Phone '1'-/-6, 5t1;8tf
, v
City
01lNER INSTALLAnON
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Owners Signature:
~~~i~'rt5~CX'7 ~~-~~-~-~---~-
RECEIVED BJ:J7. Yfi'r-J:..:n::y()I;O
Services or Feeders'
Installation, Alterations
or Relocation:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100v VOJ.ts see "B" &lDOve
D. Branch Circuits
Nev, A~teration or Extension Per Panel
One Circuit
Each Addi Uonil
Circuit or with Service
or Feeder PerllIt
I . $ 35.00 J5,O()
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each Installation
Pump or irriaation
Sign/Outline Lighting
Limited Energy/Res
LiGll ted Energy/Comll .
$ 40.00
$ 40.00
$ 20.00
S 36.00
35':00
1. "75
I, () c:;
~-7, WJ
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S. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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