HomeMy WebLinkAboutPermit Electrical 1998-3-10
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DEVELOPMENT SERVlCESz4Jfllf?l, no! require .~ . "f. Illnd uso
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225 FIFTH STREET 081 .
SPRINGFIELD, OREGON 97~..A1mdlllgnlllUle (\-j\I'
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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1. JP)(A1ION OF INSTALLATI~. [\
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JAGAJ.., pESCRIP1'IOM
1 'lW:J."* ~ (Y)IOL-
~, JO~ DESCRIPTION
~ Vo f'L.
perbits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
__--.-..180 days. .... .... ...- ...-....
4l\\
Si~Sprq:~ctrician
Owners Nam~ ~ . ~L~"aS2.-----'
Address 6)\f\~ ..(\.X.~ .:Ate-- Ci
Ci toO ~ I t& Phone ~g-3. q({J /
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OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~------~~r~7t1Tt(-----~~--;----
RECEIPT #: 1.-..# 'JV~ ~~t)JO
RECEIVED BY: \ J)7X ~" .
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726.3689
ELECTRICAL PERMIT APPUCATION
City Job Number Or, \~Q4
COMPLETE FEE SCHEDULE BELOV ~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
3.
A.
1000 sq. ft. or less \
Each additional 500
sq. ft or portion ()
thereof -L
Each Manuf'd Home or
Modular Dwelling
.Service or Feeder
D.
Branch Circuits
2. CO~CTOR INSTALLATION ONLY B. Services ~r Feeders
~db Flc,L"" J;u"d~;~ ::PI\'C- Instal~i!~1!, Alterations
Electrical Conttf,'ctoY- or ~~'a\i9~:
.....<fo.\<( " \~
Address j t;:D ~tl/t:,:- hI/V' 'tAil '" ~~~Q,~s <(~>less
I ~; ~\.. &Q.J.< ~V!R.~ to 400 amps
City PLI'-. ~ PhonejG (/J\.\.rr'~iPv.~ ~~-<;}i~~~ps to 600 amps
f ~a" l~'?l,' \:)'~.v: @Tl amps to 1000 amps
Supervisor License Number ~~-'~~~~ O~\~~er 1000 amps/volts
ad "v.I..)' f:J~~ G~\I.\'e'connec t . Only
Expiration Date )()-J.... '7)~'\:) ..\.<(,:~ ~<\l~
~ _\JO~' ~\j'f.c. Temporary Services or Feeders
Constr Contr. Number :f.!,,}-1C, l-~""'i Installation, Alteration or Relocation
Expiration Date I-pC::; ,qrj 200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
$ 85.00 B'6
$ 15.00 I()'::J
$.40.00 . .....
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
New, Alteration or Extension Per Panel
One'Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 4Q.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE -Lf{{).(Jt)
5% State Surcharge Lf.50
3% Administrative Fee .,;;" l}U
TOTAL ....'lnb . off}