HomeMy WebLinkAboutPermit Electrical 1997-9-12
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The following project as submitted has the following
zonin~, and does not require epeclflc land use
approvai.. C 0
97477 Zomng
72&!t;,J7M .....1J41 n t'1 A
Authorlzed Signature I Y l
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
5'"7 t:j 0 ?n'.. : '^
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JOB DESCRIPTION
S' ,'e; '" In'hro../l a.H,.,,.,
(
.Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor~lI_ T':eL c;:,~~S
Address <rf'551e,
O;{/-t~.
Phone 2~6 - 71Q
Number ~3~ CS~G
City ~~''''.,
Supervisor License
Expiration Date /&1 - /
-79
The installation is being made on E.
property I own which is not intended
for sale, lease or ren t .
Owners Signature:
~~~E~--------------L\-:f~~~-!\7)~5.
RECEIPT #: l~ I ~
RECEIVED BY: 'tJ\~
ELECTRICAL PERMIT t\PLICATION
City Job Number \J..f'lffi\
"v,'ueLLU:' ,'r.r. SCHEDULE BELOII *
New ReSidential-Single or
Multi-Family per dwelling unit. . .', ;
Service Included:
I terns Cos t Sum
oJ.
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15.00
$ 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
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting /
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
C. Temporary Services or Feeders
Constr Contr. Number~ Installation, Alteration or Relocation
Expiration Date 7-J/ilSfl~", 200 amps' 'or less $ 40.00
AUTH(')o,,> ')1IL.L. EXPIRE IF 201 amps to 400 amps $ 55.00
Signature of SUper~i&dTII;!€~r.HJtweRTH Th$ WQIlf) 1 to 600 amps $ 80.00
.::::::;- - MENCEn,.,,,, 'A , ISPERMrtY~'N'6.tJO amps or 1000 volts see "B" above
~~ ~oEf. ~ABANDON OT
/ - -.---~nt't'RIOD D,~DBG')finch Circuits
I' Owners Name Calf!;l/O# /)/')/c,V"> '
, I
Address...:;L1 'i" ~. ,D,'r-
City Spr.E>:^'T F';~{,). Phone 75/6 '6'765
OIlNER INSTALLATION
not included)
$
$
$
$
1J)~~.
4~1fb-
40.00
40.00
20.00
36.00
~