HomeMy WebLinkAboutPermit Electrical 1998-12-30
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Th. following project 118 eubmllIetl has the!.',. ".
z.:,c,'Cog, and does not require specIIlc land U89 '.
epproval.
Zonlno ~C/
225 FIFTH STREET Date rz / 60 I 'j.{
SPRINGFIELD, OREGON 97477 (
INSPECTION REQUEST: ~~1llIIunI /J W\..
OFFICE: 726-3759
New Residential-Single or
Multi-Family per dwelling unit. ~
Service Included:
I terns Cos,
'teS ~oll \0
1000 sq. ft. Rfu..,J.~\ ~iW~ 85.00 :~
Ea<[h\G.a.q!li(Ii1!.~~te e set lolt
p':" \ I'slil \ ~ adOll\~~s~qOleS a~ 95Z-001-
\o\\O\tli~~'7'!Jn\et. olhtOllg\\ 011',1.: ,,,les$l~15. 00
t'10\i~5\1.eod '~'ICf'l\ i~\ le\l\\Ofle
if\ O~~n\~~ re\lllieF. J n '. ~~e ~O\ilica\iO$fI 40 00
009\y-'cec~ .e M\\I\W. .
a\l\fI~ \\\e \\e Otegofl 3Z-Z3A""
2. CONTRACTOR INSTALLATION ONLY B. ~l-1Mmt'€S\gr\sl\~1s
,..\ "/~d /-/ . 1:nstall<al'tion, Alterations
Electrical Contractor Nwv ~'1 'lAtCine..... or Relocation:
, .
Address41/) ~)l ,.J15b~
City 5dql~: Phone 5l/1-(pglor2~5
Supervisor License Number ,,:SZ8ZS
/0} /01
20 -1'1,)(
Expiration Date 11')//If"J"
- "/ I "
s~~~uper~~~ectrician
/'.<. .J" D. Branch Circuits
Owners Namv)rin~f1t}tl r:.m,'i/1a.4l"'fi(eflj'1)lfp .
. .~ U New, Alteratlon or Extension Per Panel
Address ~;;).n D{cola "-I...'. .
r. d "7 <:1'S7 One Circuit
Ci t~{> \ Phone flf- 0 0 Each Addi tional
. . Circuit or with Service
or Feeder Permit
3.
1. LOCATION OF INSTALLATI9N ~
"J ~ ,? () t:1{2,yftK/2 /C(. A.
~ DES~PTIOJl/lo.s.JSJ;:) DO
Uft7d..l '" d L fJ..{pti AJ
...-.J,. OB DESCRIPTION ',n
Ie.. ,C eoJ
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Constr Contr. Number
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~TE~--jf~l~j(--x:----~-=:--------~-
RECEIPT 1I:' h t<. :J-1J~C.J
RECEIVED BY: If-';. fr.....I~
ELECTRICAL PERMIT APPLICATION
City Job Number 9? () ?lJ7-
COMPLETE FEE SCHEDULE BELOV
C.
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 aJli,9Tl1~lliPo amps $100.00
601 amp's'p~Q1000 amps $130.00
Over itibo amp~$1fS~l\l:s EXPIRE 'F~~.\.9Q,K
Reconneclti(XIli@WJ UNDER +HI5-P "i;o'.'b'6'
COMMf.~1 r: ' ER IT IS NOT
Temporary sIfrWffilfoirB.F.,lijgQ;'NEl) FOR .
Insta'i}.Irat.jrol1,;;yl}t\j:'iifi~)tion or Relocation
, i
200 amps' 'OT less'
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
L(O
$ 40.00
$ 55.00
$ 80.00
see nBIl
above
volts
.'
$ 35.00
$' 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE %-
5% State Surcharge ~ ~
3% Administrative Fee' I -7~
TOTAL ~.~O