HomeMy WebLinkAboutPermit Electrical 1998-1-22
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T'- 'r,l'owlng project a:i OUbmlttod hcs tho following
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225 FIFTH STREET Dale
SPRINGFIELD, OREGON 97k7.t70r1zadSlgnature
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. d:~tTI~~~f~(fuuono(\ Q
LEGAL DESCRIPTlAtj \ \ (j
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if work is not started within 180 days
of issuance or if work is suspended for
180 days.
, i
I
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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D~TE~----------------T:-~-~~C1-~----
RECEIPT II: I ... ri;-- A.. \
RECEIVED BY: ~IJ'CL; N..~\\
. A.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C\ f\. \ ~ ()~
3.
COMPLETE FEE SCHEDULE BELOV
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
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder $ 40.00
$ 40.00
$ 55.00
$ 80.00
see tlB"
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2. CONTRACTOR INSTALLATION ONLY .B. . Serv.i.ces or Feeders
.J'l.. .J--I. ._L~' Installation, Alterations
Electrical ContractornJ<<f I-::rCPJTfQh.. or Relocation:
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Address 1C/7() N. J,-f)1b=-S1\ "'i'/:/>l%>,.c mo amps or less $ 50.00
'c-~' 1ft ;J:?-,,15f ~~l'amps to 400 amps $ 60.00
CitY,7f}V'/ Phone 7..,-~;.~V~ ~01 amps to. 600 amps $100.00
I \ .' F? (('1,: ~,'~) amps to 1000 amps $130.00
Supervisor L cense Number ,;;>L.I ~...... ..J'~..:) ~ 0G.9~y. 1000 amps/vol ts $300.00
I ~I Of). OQ ~c((~ect Only $ 40.00
Expiration Date 0 -jX -<>&., ~/o ~A ~
1 '~ ~W~~ Services or Feeders
Constr Contr. Number .;Lo 2):::::> I....-- V<:) t~a*on, Alteration or Relocation
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/0- l,.q ^ 200 ~~r(('~ss
201 amti~ ~ 4'6'g amps
Si ature of Supervising Electrician Over 4017~0~,R~amps
A /~ Over 600 amps or 1000 volts
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6'.l.:..( (I' '^" ClI...n:.0:ranch Circui ts
wners Name \)\ S \}l"()..... \lrr\l..l.AUl(Jf\
"2..v(l \\n(\l\(\ C'..L ew, Alteration or Extension Per Panel
. Address vI::) I.) v'.llU \l. M.
City f" 1)? M--- Phone4 is. \ raJ)
OVNER I~TALLATION
above
.'
$ 35.00
One Circuit
Each Additional
Circuit or with Servic~~
or Feeder Permit I~~ $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
2.00,ao
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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