HomeMy WebLinkAboutPermit Electrical 1998-4-3
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bmltled has tho followin9 :c;~~" @....lii
. Tho following project as au ^ i1\c I:llId _ "' ""<'C..'.".... - "~!'
zoning. end does not requlro ~poc
approvel. LJ..I/
Zenina
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1. LOCATION OF INSTALLATION/) d
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST;
OFFICE; 726-3759
LEGAL DESCRIPTION
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JOB DESCRIPTIQNVJ
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Permits are non-transferable and expire
if work is not started within 180 days
of issu~nce or if work is suspended for
180 days.
I'
I'
. I
Expiration Date
Constr Contr. Number" C?~ ~9.yo
Expiration Date 1y/;<;/9' 9
Signature of Supervising Electrician
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Owners Name ;;UrW/{G ')? ~6> D.
,{,.fi/.
Address () Z-/J o/? t!-/I-R;?2.~
Ci ty . ('/4.&:J
Phone
OVNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or ren t.
Ovners Signature;
---------------------------------------
DATE; Q-3-'7-E.
RECEIPT ~; ,tL<; 3 ':2-'-1-
RECEIVED BY; 'ltL-J
ELECTRICAL PERMIT "APPLICATION
Gi"ty' Job Number
Of7 /7 Ie;
COMPLETE FEE SCHEDULE BELO\l ~.. ~.,
New Residential-Single or .. '
Multi-Family per dwelling unit,'
Service Included: . C
Items Cost Sum
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
S 85.00
S 15,00
: s 40.00
volts
S 40.00
S 55.00
S 80.00
see "B"
above
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ~
Each Manuf'd ~m~~r
Modu~ar aw1:J.,.(%"~
Servl'"ii ~ ~~ ~
~~~~~
2. CONTRACTOR INSTALLATION ONLY . .B. Services~,f -'t1~;~
/1 r P Installatidn,~i~;:~ons
Electrical ContractorC-",":wm.t/'h7PC<'&f~ JW or Relocati~: Q ~- ~<<'.
p~r ~~~~
Address 1,tJ,/JoY 'Y/t 200 amps or l~:n>U'~ ~ ~- S 50,00
/,) 201 amps to 401l'?am~'~ S 60,00
City l!: A'e5"CJdLL- Phone rt'1t-'.2?tr~~' 401 amps to 600 amp ~ ~S100,OO ___
601 amps to 1000 amp _ ~ ~230,OO
Supervisor License Number Over 1000 amps/volts <0 '1, 5"l520,OO
Reconnec t Only '??. 4..$~. 00
,. '0-"
C. Temporary Services or Feeders
Installation, Alteration or Relocation
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
s
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40,00
Sign/Outline Lighting S 40,00
Limited Energy/Res ~ S 20,00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
.;20, -
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