HomeMy WebLinkAboutPermit Electrical 1998-11-2
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The following project as oubmllled has
zoning, and does not require specific
No~ approval. ~ ^
7C~. .
TH r;;;. Zoning -
225 FIFTH STREET I',l':j IS PeRMIT.cnw... ~.'L ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON y, ltJGRI7 ....1111:... C: 'ICit::
INSPECTION REQUEST: CC?~~~E37I9J U~'F!fi'fHISSigA8IU R-v:" 'J ~v.., Number 9<) I 2- h f
OFFICE: 726-3759 AN 'I MCeDOR PeRMIT 1(
y 780 DA." P IS ABANDON 3 . IGdtwpETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION eR10D eO FOR
"hJU ~1.JTi1/2,,;VA 7i afl-, . A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/70 liS- 7D OO]()t/ Items Cost
1000 sQ.ft. or less
Each additional 500
^TTE~~I'n;;h%~oR'la~tS&uireS you. ~o
Permits are non-transferable and expire "'" 'rl'1e-rIE!g'f' t".cI~\l.theOregl'nlllthty $
if work is not started wi thin 180 days 'OIlOVE~I\SflllR8rT 1:IR'Ili\llgare setforth
of issuance or if work is suspended for Notlflca~(Yfa1!SrD,:.r ~~J.P.i,OAR952-001'
180 days. in OAR ~ll~l!l~fl P~'ro' tt.- .. ,1,,,, b,$
. '. 0090. You may obtain copies -
2. CONTRACTOR INSTALLATION ONLYB<:all~t~Yr(tp~'Gti~~e\~~~~~~n
L numJiastmlll.'a P.r€lilljln M~~~\i ons
Electrical Contractor {} Jj..." &,.uL:::.-jc:c-fJ or(furilo1da~iIMlA-332.2 y.
Address.p (). gOY 70~,'f' 200 amps or less fl!
d 6Y?-IZP,z, 201 amps to 400 amps
City~ Phone ~~~ //.~~ 401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts --L--
Reconnect Only
JOB DESCRIPTIONI7 r
AlP/AI' b?.t:~ 1{{lvY ~tt.(//t'(/L
Supervisor License Number ,/ /94...s
Expiration Date /0 -/J/- LJ/
Sum
$ 85.00
15.00
40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
0""".::?cO
~.co
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number? J.. C"/~
Expiration Date? -/r- PT'
Signature of Supervising Electrician
~.~
c/ / ,D.
Owners Name //e.S/Q,u'...s SG{sr-e.,uS'
./ CJ ---..
Address I dJ I/()~ (tn-
Ci ty /1/1. -r~ Phone 50 f . 2lfi-- tV,)
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------------r.--------------------
DATE: ill2-! 1v fJ
RECEIPT II:. I) 5/ --; .L..'-, 1/
RECEIVED BY: V vVtJI'lJ
200 amps' 'OT less /
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00 hlt:200
$ 55.00
$ 80.00
see "Bft above
New, Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit. //7 $ 2.00 p..-::'/.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
71; ,jJ;HI. 0' 0
./' 0-/. -9-t?
.// '~C9.7 ~
l{ 7/ /0 ~ ;?-
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