HomeMy WebLinkAboutPermit Electrical 1997-7-16
, The following project as submitted Cos tho following
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225 FIFTH S'rREE1\-l\!; ?ERMli SH ~ 'i"ftl\!; ?E€'M~ \~ \'10 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~4iZ~ \.l\'luc;f\. QldO fUtI ~ . , ~ @
INSPECTION REOlJOOi'f\U'7'2'~a~" 'I Ci ty Job Number IT'I_ {61-
OFFICE: 726-375eOMME\'IS.utt1\l1jo:~nalu,. (\ lY\. r../ 7/01 J I
......nt...11l00/\.y rc;\,\IV- J. CUMPLETE PEE SCHEDULE BELOV 7 AT
1. LOCATION OF .lm>'fA'LLATION
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_ ~J~ft DE0:;~N /7.1)2, ~r:;2,JlO/ DO
JOB QESCRI~N . ~
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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.
It ems
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLYB.
Electrical Contractor f../EuI4/J.w.1iJr;ap,;.,".JJIi.
Address ~O, 80)<. 2.\ SO"
CitY~It=.eAL
Phone S4\ - ~t.-'2-3"'S
Supervisor License Number ~~ ~
Expiration Date 10 J ~tf
Cons tr Con tr.' Number 2.0 - / t.I t; c...
Expiration Date
1'0 f ot7
.
Si~e o~su~,' 'A~~~'ng Electrician
J~7t4-A- ~-1'
Owners Name~\h ~~ is~
Address (,.,1.,,,, .M,A'M 0;:;,"(.
Ci ty "9t.1 W"fi~j,J Phone
OWER INSTALLATION
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The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----~~7G?~~~---------------
RECEIPT 11: Ei~ 7 / Of
RECEIVED BY: X"
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
"
One Circuit r $ 35.00 35rO~
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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
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