HomeMy WebLinkAboutPermit Electrical 1997-9-15
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SeGFIELD . I,~.....
NOTICE:
THIS PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
225 FIFTH STREET COMM~QI~W~~~~~~SG~m~f.~~ ~~~EL'ECTIuCAL PERMIT APPLICATION
SPRINGFIELD, OREG~~' i '
INSPECTION REQUE. -~,' r ( City Job Number 77/t9-f&tb
OFFICE: 726-3759 ' ./ '
Dale Y 3. -COMPLETE FEE SCHEDULE BELO\I *
1. LOCArION OF INSTALLATION j) Mil II. --'
)iV6>l) ;III#/A.J 5' ~ZedSlgnatur. 't:I'"AU "l\I'~Roe;,jontial-Single or
Multi-Family per d~elling unit.
LEGAL DESCRIPTION Service Included:
/7bJ"3,.;-4t~ 6'"',&)00 Items Cost Sum
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JOB DESCRIPTION
~r.9;C/ C~ \'/.4-776'..-</
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
\
2. CONTRACTOR INSTALLATION ONLY C;-t(3~ ,B.
Electrical Contracto~,ec.h' ~7Z'/C
Ad d res s ....g lJ:p)( d,;).,f-
Ci tYCi:PfEn/LLe. t:P~ Phone s-'YI-:r?-t:: .:'5;;) ~
Supervisor License Number ~~~/.?~
Expiration Date/ //)- /- 9~
.y'h~7~
- -
/O-3!J -/K'
Constr Contr. Number
Expiration Date.
Signature of Supervising Electrician
I~ C~ /l'tnc'd~
O~ners Name I<o;v LA1~~..v/
Address ~~ ~,C::;"_,,;'''A'<.
,/ ,
Ci tY~ ~/~;'A:"' PhoneSW'':3''~-57?/
OIINER INSTAL~1
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: CJ ~ J d -9-; _'_
RECEIPt 11: (l'f,' /'5 IS-=::'
RECEIVED BY:. /. lJitfil1 ClrfI-I )
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'D~elling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less :.?-- $ 50.00 /tPo,f!) 0
201 amps to 400 amps '- $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 ampslvolts $300.00
Reconnect Only $ 40.00
',C.
t
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" aboVe
D.
Branch Circuits
.'
Ne~, Alteration or Extension Per Panel'
One Circuit $ 35.00
Each Additional
Circuit or ~ith Service
or Feeder Permit /5- $ 2.00 3c?
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited EnergylRes $ 20.00
Limited EnergylComm $ 36.00
5. SUBTOTAL OF ABOVE ;d>3o.0C?
5% State Surcharge ' 6.UD
3% Administrative Fee .~. 5'0
TOTAL II' /9"",-, . Q 0