HomeMy WebLinkAboutPermit Electrical 1998-10-16
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NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
225 FIFTH STREET ELECTRICAL PERMIT APPLICA
SPRINGFIELD, OREGoJlY1j~9f'lIZED UNDER THIS PERMIT IS NOT I. q d 11'P1~ ~,
INSPECTION REQUEST :COW,ME@!i1} OR IS ABANDONED FOR Ci ty Job Number I&' b '-' {~
OFFICE: 726-3759 *
ANY 180 DA,Y PERIOD. 3. COMPLETE FEE SCHEDULE BELOII
1, LOCATION /}f. INSTALLATION
'7 (0 II!l'rDl;..... ~ r A. Nelo/ Residential-Single or
Multi-Family per dlo/elling unit.
Service Included:
~LEGAL DESCRI1TION /
1~"",.-/l.C:/( 17031 S'-(t /)r;OOO
A I '
JOB DESCRIPTION t~;:J.1'lT'ON:Oregon'awre ' 1000 sq. ft, or less
Plln -f..t. r-f~cA )/;r~',~adOPledhl"he6U1resr:\l.\!!liJaddi tional 500
T . ,I,,~a"on l,;enler. Th regon 1S~lilyf t or port ion
Permits are non-tnl.?tfW1H6a?<OOlInlioro:1M-belufesareSEtllfelttlof .
if I%rk is not sta,oP~dl.,yOlllnilaYe%9aiM,y,s.9hOAR9lla~1l:lanuf'd Home, or
of issuance or if I%mll~ t!l\l'tl'lJ"filY.ifN~f'8;es of the rultlllWtar DIo/elling
180 days. number tor the Or~go~~..t.he ts/~~hcSm:vice or Feeder
Center i 1-8 frllty NotifIcation
2. CONTRACTOR INSTALLATION ON~Y 00-332-23~~. Services or Feeders
LL ,I " Installation, Alterations
Electrical Contractor1Lf)t .J;.C(J/U~ or Relocation:
Address (~O ( tJe-<t( <:'r/,~/<- () 200 amps or less
v 201 amps to 400 amps
Ci ty IS___~ Phone J '-f?. -/ 7/1 .401 amps to 600 amps
; 601 amps to. 1000 amps
Supervisor License Number l?<;' 1) L E Over 1000 amps/vol ts
Reconnect Only
Expiration Date (/)/1/9"'J
, "
Constr Contr, NumbeL" l:J1'1C(<..{
Expiration Date
Signature of Supervising Electrician
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Olo/ners Name /lvpi0/ ./
Address
City Phone
01lNER INSTALLATION
The installation is being made on
property I Olo/n Io/hich is not intended
for sale, lease or rent.
Ovners Signature:
~,..-
----------7--1G------------------------
DATE: q /7/1<r
RECEIPT #:' , 1/ '-f"~. n
RECEIVED BY: W' IN~)
Items
Cost
Sum
$ 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
$ 40,00
$ 55.00
$ 80,00
volts see lIB" above
D.
Branch Circuits
."
Nelo/, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or Io/ith 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 )t $ 36,00
5. SUBTOTAL OF ABOVE 5 {,. 0 il
5%'State Surcharge
3% Administrative Fee 2--<;; f
TOTAL i sr.. of 5