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HomeMy WebLinkAboutPermit Electrical 1998-12-29 ~ . SPRI-'ELD , f . ublnllledh88the Tho foiiOWlng projocl ~..... opeclfic land U9ll zoning, end dOll8 not I...._w approvsl. /' Zoning C),i 225 FIFTH, ~~~~~ \ 081.1-" "'lA ~1." 'E~CTRICAL PERMIT APPLICATION SPRINGFIELDr'rOREGON,197477 ^ I--'" !? INSPECTION "REOUEST f'i&q 26.Jg.':,,;'.. J SlgnalU19 Ci ty Job Number <1 ~ 14 0 2- OFFICE: 726-3759 1. LOCATION OF INSTALLATION C\ \C\ ~~"GX1'\Qt'\ Of\.Q '>. lA)Ql\,' A. LEGAL DESCRIPTION I7d3/S'C;o. CJII/"r JOB DESCRIPTION - (917 - L, ~ "'-."C"., P. 1-, ~ - A u,\ 0 ''IU>~:T D' v~\nA"<..t\\ \ . Permits are non-tran~ferable'and expire if work is not started within 180 days of i~suance or if work is susperided for 180 days,'" - 1 . 3. COMPLETE FEE SCHEDULE BELOII :'l".'7Il.,'''1~,~"t1" . "'b.~~,v{l"~ "!I:~~ ',t;"~.<! - .~~~~ fJ '''~ :;,f :.~~.$(_.,r;.'!: . New Residential-Single or Multi-Family per dwelling unit, Service Included: Items Cost Sum 1000 sq.ft, or less $ 85.00 Each additional 500 sq. ft or portion thp.reof $ 15.00 Each Manuf'd Home. or Modular 'Dwelling' Service or Feeder'. $ 40.00 200 amps"or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D, Branch Cir.cuits 2. CONTRACTOR INSTALLATION ONLY ,B: Services or Feeders , K)' -- (' Installation, Alterations Electrical Contractor '{:GeJ)O'/7Ff'TP-Ie .dr;-f'\. ',o.r,Re1QIcatiori: J ~ , , . ' .' u-...v=.. /: I I . Address ~() (dnv'c5.43i . 200, amps or less __ . 201 amps to 400 amps Ci tYGI^(lIO~o,_,A.:::\\JI'HfhQl}e,~2..,o\\..,Q\,_."".,~,:""" !t.ql~.an\p~ to. 600 amps Vt.;,' :',ft'j i" ,-.4'1;'-: """,'~',' "~"'l.t~,'Pf""~''i~,:r~~''601,'~am''p's to 1000 amps .ro',.I.' :,\''1'' "tA1 ""'~'.<'''' ',1"':... l.. " f~\'" ".. . . Supervisor Lit'ense ,Numb~r '~L:...a.~ '2':'; '.' " , .::'.. OvEii-:,lOOO amps/volts . --'-' .' . ---.~-- n_ - ----'--Reconnec t Only Expiration Date 10 -. I - 0\ Constr Contr. Number -:;",ct( t':li') I Expirat ion Da te 0, . \ '-\ - 00 $ 50.ob' $ 60.00 $lOO.OQ~'''-T-'o-~ ' $130. OO';-c,~''''. . $300. OO:~' $ 40.00'-: "'C.~ Temporary Services or Feeders Installation, Alteration or Relocation Si~1ture of Supervising Electrician 7 J!;AA~ ({).12n~./ Owners Name lC)~")"",,, (1\5;;:';l?l'u'" Address' ~~ Ci ty St1~7r:;<lI,j Phone 01lNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Ovners Signature: :~~~~-:~-~----~~~~~;~~---~ RECEIVED. BY. ....., . ~.. , :" , '"'L:'~ ~'_.,-^'. . '. $ 40.00 $ 55,00 $ 80.00 see "B" above New, Alteration or Extension Per Panel .' One Circuit I $ 35.00 .3..."-.<9-0 Each Additional Circuit;or with Service \ I"i,..,(}.:i.') or, Feeder Perlpi t ~"'=c:l $ 2.:00 :-I I. ,,_t ...____._ E. Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm $ 40.00 $ 40.00. $ 20.00 $ 36.00 ,,("). 00 -'~) ",r-'''?' SUBTOTAL OF ABOVE '. ..:l'",)..~ -:-. ~:-:rJ.tf-.. 5%, St~~e.. Su~ch~rge .' _f. '1 S. ."~'1il.crJ.'v' '3% AdmlnlstratlVe Fee,'.. f. , '7 "..' ,,' , ',p-:-" TOTAL':, " ,;~: :'... . . 'f'- .I'l-''c,... ." ;,.<r"'1-::';;:fZ7, . -~~~~-~;,. ", } ..' ~. -.'~ '.~O' - . :~:.4;~Y\4_. ~'. .".J...... '. .:,_~...~~':;.,..../t "...~.. -...~~'-.. --t....:..,--=-~-=-- 5. ~~. . not included)