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HomeMy WebLinkAboutPermit Electrical 1997-08-26CITY OF OFEGO'V .*{'Aiei.lar_ SPFlr,-aiFlELD BI,ECTT.ICAL PERI{IT A?PLICATION225 FIFTE STREET SPRINGFIET,D, OREGON 97477 INSPECTION REQITEST: 726- OFPICE: 726-3759 The toil .l City Job 1t t;+t:3769 ' 3. COHPI,ETE FEE SCEEDULE BELOS 1 LOCATION OP INSTALTATIONln|^ i0tfi, J.fi. I,EGAL DESCRIPTION 11 n3 D l).5oo JOB DESCRIPTION Permits are non-transferable and expire if vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. CONTRACTOR INSTALI,A:IION ONLY Nev Residential-Single or Multi-Family per dwelling unit. Service Included: I tems A. Elec tri Address ca1 Contracto Ci ty Phone 'l4l -A%Zb Supervisor L ense Number lbgb 200 amps or less t 201 amps) to 400 amps _401 amps to 600 amps _601 amps to 1000 amps_ 0ver 1000 amps/volts Reconnect 0n1y c.Temporary Services or Feeders Insta1lation, Alteration or Relocation Exp iration Date Cons tr Contr. Number O 3?,+q 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home- or Hodular Dvelling Service or Feeder Services or Feeders Installation, Alterations or Relocation: SUBTOTAL OF ABOVE 5Z State Surcharge 3Z Administrative Fee TOTAL Cos t $ 8s.00 Sum s 1s.00 $ 40.00 50. oo 40.00 55.00 80.00 ee ilBn a566 5o.oo . 0. ts €hd,un,,.?rrn . ,B c $ s0.00 s 60.00 $100.00 $130.00 $300.00s 40.00 Expiration Date Signa 0vners Name Address cir of Supervis Electrician g Phone 200 amps"or less $ 201 amps to 400 amps - $ over 401 to 600 amps - $ Over 600 amps or 1000ffis s -Each installation Pump or irrigation $ sign/outline Lighting- $ l,imited Energy/Res - $ -q D. Branch Circuits Nev, Alteration or Extension Per Panel one circuit $ 35'oo Each Additional Circuit or vith Service or Feeder Permit $ 2.00 E. Miscellaneous (Service/feeder not included) OIJNER ALLATION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. Ovners Signature: DATE: 40.00 40.00 20.00 36.00 9,,5o r, 50 .r4. ooRBCEIVED 5 to-t -q9 ,l CTTY OF SPRING,I'1EI,D Fire & Life Safety 1l /)- 4ll7o s 35 tZ - /)Stri> -< t ?'/ - 2, ro/ DATE:0s- 11 -q1 FIRE DAMAGE P.EPORT OR ELECTRICAL HAZARD rll. FROM: SUBJECT: Bu j I d'i ng Depa rtmen t Spri ngf iel d F'ire Department Structural Damage to Bui 1 d'ing Address or 'location of bui I di no 1bL tory a"* Name of or^Jner A I^^o nae-L tTyoe of bu'i Id i ng Estimated val ue of bu'i1di ng Estimated loss to buildins (Dwe1 1 i ng tore,I^JareS Se, etc. ) s 2g-O0 !--1 Date of fire 4-V1 - {) Location of damaoe 'in build'inq 4 ov1 e*Wior (Roof, l^Jal I , Exterior, interior, etc. Structura'l weakness as a u]t of the fire Burned rafters, Beams, Joists, etc. ) Additional pertinent information ) El ectri ca'l Hazard (l,li ri nq , 0ut'l ,r,?u) f'ao"1*/ C,l{ si I