HomeMy WebLinkAboutPermit Electrical 1998-1-9
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The followinr. p!'o!?ct as !':ubmiU:"" I~ .~. . ~ ", .
zoning, end ClOGG no~ require tp:c.;;,:: :.:..: l ~~- ....
approval.
Zoning (' C , '
225 FIITH STREET Dal~ ~~
SPRINGFIELD, OREGON 97477 -
INSPECTION REQUEST: 726':(37~9'Cl Slgm::turo \',~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
G,,~ L{~
LEGAL DESCRIPTION
I, 0 2..~7, 4-1 () I ej'o-i)
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------[-~
DATE: '""-1
RECE.Lr! ii: ~~
RECEIVED BY: --{J W~V ,
ELECTRICAL PERMIT APPLICATION
City Job Number Cf I I),.S <t
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
3. COMPLETE FEE SCHEDULE BELOV *'
. ~~~C~~~t~=~;~~~~i~;~S~~~i~i~~ unit. ' ..... .
-1c:/):0',o~ (Service Included: .
00 :.s.-Q ;s>~. Items Cost Sum
-1~ .,,,,~ ~~ v)' .
JOB DESCRIPTION ~J'. ~1-. <'0 f~o sq. ft. or less
AI t<A K.io-:.l<:::- 0'01) V(C'o c:/1tt~ij~ddi tional 500
'1;., 01)> ~:'~ or portion
Permi ts are non-transferable and expire ,o~ {s> ,~he1A~
if work is not started within 180 days ~Oo ~~~,&t~ome or
of issuance or if work is suspended for ,M A~4' ing
180 days. Ser ~ ~!&Y.s' 1-. 'Iter
2. CONTRACTOR INSTfL~~;~NLY B. Services~ ~ders
\\ ~.~ Installation, Alterations
Electr~ Contracto ~. Q ll> ~lI2.\u or Relocation:
Address'Y.l), Ro", \S."3'L. ~ 200 amps or less
n-.(') (r::f'J":J C'7 201 amps to 400 amps
Ci ty fll\G I (' JY Phone \.CO.' Zrl~ 401 amps to. 600 amps
I \'2"' \ c:::. 601 amps to 1000 amps
super~isor License Number /~ J~ ~ Over 1000 amps/volts
D \ c t9-.. Reconnec t Only
Expiration Date \ ,. - i C.->
Constr Contr. Number62'E;"'~~Y9'
jPiration Date ((J'b,C(B
~ Stlli;~~ Su~er ising :t~~,
~:e~s Name r(1 A ~
Address t;Jl.l1-, ~ ~
Cit~'voJJ<<& -Phone14\o.IA~
O~ \N\JALLATION
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting 7,
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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