HomeMy WebLinkAboutPermit Electrical 1997-4-4
,
S"GFIELD
The following project as submalod ho.o lh., fo::oY/in ~
zoning. and does not roquire speclftc L..nC: U':J ~
approval, ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 0104.4 ~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Zonina
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 Dme
Authorized Signature 3.
16, . L. OCATION OF INSTALLATION
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. , JOB DESCRIPTION " ."
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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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor F"StA
Address \'?.lD ()/\1(,PA'1U;yU)
Ci ty a)~f'Yle, Phone Y'3S-5i:;"l../ I"
'...J
Supervisor License
Expiration Date
Number Y?:'S ,<:,16
10 J q9
JII'L'6lo
d- d. - q 8
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
1)/
,~^'- rV'l-
Owners Name Pi '\ 1\ H'\J+Vhl (IS
c.e. ('\ +r Y'I (\ 'II~'" ~ \If)
Phon~Lj7 - 3371..(
Address blOloO
Ci ty ~(),f'{) L
- J-
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
- ----------------J[7\~ -----------
D~TE: \,\,q I \-- f"'. ~
RECEIPT II: .' .t,........\, )
,RECEIVED BY: ~~...J L-/
COMPLETE ~..E SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
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
$ 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 or 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 liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting~..
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
no t included)
$ 40.00
$ 40.00 ~
$ 20.00
$ 36.00
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