HomeMy WebLinkAboutPermit Electrical 1998-7-8
The, following project as submitted rn.;,
Zee,'ng, and does not require .~lfIe lathed fo/lewlnl'
epprovaf. _ t""'" n use
Zoning -lLlv
DA!a:)/<K,/ CUS
9,7,ftUz.ed SJilnrour. '" (Yt
726-376~ -'-'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERMIT }f~LICATION
ri ty Job Nwnber --.!lJf (Yit..-:{?-
3. COMPLETE FEE SCHEDULE BELOII
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
NorlC
2. CONTRACTOR INSTALLATION ONf-R, 'E: B. Services or Feeders
~~~ Installation, Alterations
Electrical Contractora&~.fJJJ . ~I:t. or Relocation:
/? LP ' COM cD UN EXPIRE f
Address rJ), D. '" ((I 'MENr-t:'E; OcR T.'l.,~.p J€P:J.(f:!J{J1'Qless -L-
,.j/VY T8n . VR IS '2thP~Ip,~f'r. fa' ~ amps
Ci ty.!J A Idl1-v. ,: (I A Phone 7</c.-ra Qty P<:RI A8-'1MJl.,,~.l'S ISr:N&p"O amps
~ OD, 60t'lffilPfJO{;f 1000 amps
SUpe1"ViS01' License Number -.; 3"7" S Over 1000 amps/vol ts
Reconnect Only'
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1. \\~Crf.IO~~f\~TION
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}WtOB DIlSCMPTlON
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Permits are non-transferable 'and expire
if work is not started within 180 days
of issuance or if Ilork is suspended for
180 days.
"
Expiration Date
A.
Nell Residential-Single or
Multi-Family per dwelling
Service Included:
Items
uni t.
Cost Sum
$ 85.00
$ 15.00
,$ 4'0.00
$ 50.00
$ 60.00
$100.00
$130.00
S300.00
$ 40.00
60
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number (.,S-i:>c>';-
Expiration Date /<=>-/-'7Y'
Signature of Supervising Electrician
/0rOz:tJ
Ollner~ Name ,\n(\:r+r~_~ D.
Address \\0.1 ~ ~ \e\W
City
The installation is being made on
property I Olln which is not intended
for sale, lease,or r~nt.
Ovners Signature:
DATE~------~-----I----7f-~~~~----
RECEIPT jI: l::1\'-f) " 'r...l\d'l
RECEIVED BY: ,,1)1, II_J ;..i0\ -
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600,amps or 1000 volts
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see ItB" above
"
Nell, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Servi~~
or Feeder Permit ~ $
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign(Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
4
2.00'
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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