HomeMy WebLinkAboutPermit Electrical 1997-10-14
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SPRINGFIELD
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loning, and does not require specific land u:::o
approval. '
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DatolO -14--cq ~\Cf::. ~r-\.\.'i.'/o.?\~ ?'i.?-~~\'O -
225 FIFTH k~'I:1Y.'iE;.1j Sig!lature (\ ~~O _~o.~\'\ <:l ,r:;#.?- '\~\'O O~~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9i"''''c "!~\~\ ~~\J'~ r-'Or-~\l ~/
INSPECTION REQUEST: 726-3769 ')j,\~O?-\"V ~O?-\'O City Job Number f/f171t/~'6 ,
OFFICE: 726-3759 f>I ~~C€ cl>.\O~' *
Yl1 i{... (~D ~ "r-'t ?'3; COMPLETE FEE SCHEDULE BELQU ' ,
1. LOCATION OF INSTALLATION ~ ,~v
~ ~ 7 h/! .4-/;'/ JIi! A. New Residential-Single or
Multi-Family per dwelling unit.
/~GAL DESCRJPTION Service Included:
/1)-'3"3<; LIdO 330U Items Cost Sum
JOB DESCRIPT;rON
u;>;~" r: A s If /i:J!J.-Ter: .:::::
,-,<- ')
~
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor 1 ".r!)~~ f[:(-rc_1
Address ~s(7oo 0At4--i?.CoIA ~j)
City 5n-l?I~<w..l:".:j..J..Phone "7"2-1- -7><1.-;>
~ I '
Supervisor License Number <; Yb-$
Expiration Date /01//7-'17, C.
Constr Contr. Number b r~ i?()~
Expiration Date cf~:;Je--C:;f?
Signature of Supervising Electrician
~ (~
~ t' I D.
Ovners Name 7, 'rY1 T'Jt;/1 <:.
~
Address 73 j mtL.' /7
Ci ty ~S-fr, '//7 Ii "II Phone
OVNER INSTALLATION
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovoers Signature:
---------------------------------------
DATE: /6 -/~- q 7
RECEIPT lI: ::J.7~
RECEIVED BY: '
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
B.
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
r-\$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
.'
One Circuit $ 35.00 }.,~
Each Additional
Circuit or with servic?
or Feeder Permit $ 2.00 .2. .=0
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~,i2'
$/,(/
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