HomeMy WebLinkAboutPermit Electrical 1998-7-30
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The following project os .ubm~tM na. t . 0
zoning. and d008 no;,re;tuire spocific land us
approval, <.: f:/
Zoning I R l -;;
22.5 u.~. '" STREET 09le1 '~() - "i q,
SPRINGFIELD, OREGON 97477 .
INSPECTION REQUEST: 726.J&,ok>..' J Signature..1l1vl
OFPICE: 726-3759
ELECTRICAL PERHIT A.PPLICATION
Sit) 4~h NUIIlber q@ q0 C;
3. COKPLETE FEE SCBEDULE BELOII
~lc::,~&~~~f~A~t U)(L'1
, A.
Nev Residential-Single or
Kulti-Family per dvelline unit.
Service Included:
LEGAL DESCRIPTION
II o?-' Ie, 0 0 () I I I -,
_,.. .JQIf D~~'pli.- r:. - ' c::... "',n . -,.. 1000_sq. ft ._or..less .
~n , 'i:Gl \ c('('\l(\ ,)1IJ...d O:::IImach additional 500
sq. ft or portion
Permits are non-transferable and expire thereof
if york is not st~rted within 180 d~ys Each Hanuf'd Home, or
of issuance or if work is suspended for Kodular'Dvelling
180 days. Service or Feeder
2. CON'IRACTOR INSTALLATION ONLY
~. Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contra,ctorSecureCom,lnc
Address 1126 Gateway Loop, Suite 122,
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
Ci t y Springfield
Phone 988-3585
Supervisor License Number 7~lE
Expiration Date 10101/99
Constr Contr. Number3,353CLE
Expiration-Date' 10/01/98'
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
S 60.00
S100.00
$130.00
$300.00
S 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 voits
Branch Circui ts
Signature of Supervising Electrician
~...-.;:...-- ~.
Ovners Name Ynf',W..... 7,'L ~......,,~
(j
D.
Nev, Alteration or Extension Per Panel
$ 35.00
Kiscellaneou$ (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res -----
Limited Energy/Comm ,
Address -r,().1'?rH: 5;J.,C,
City S~,f;~ Phon" il~(' - J~~
OIlNER INSTALLATION
One Circuit
Each Addi t ional
Circuit or vith Service
or Feeder Permit
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
E.
Ovners Signature:
om~=-~---;r--30-~q-l'-
J:~.I.f;''''V:
lIECEIVED BY: -KuJ
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 55.00
$ 80.00
see "B" above
S 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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