HomeMy WebLinkAboutPermit Electrical 1997-8-19
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DEVELOPMENT SERVICES DEPARTMENT. b 'tt-d 1--- tl- ;,0'. 225 r/rTH STREET
The following project as su IT' _. "., r. r "
zoning, end does not require qc,;,.o :'""'" '<\ SPRINGFIELD, OR 97477
approvel. ~Tn.'541j 726.3753
225 FIFTH STREET . C (' ./ ELECTRICAL PERMIT APPLICl<f:AXl7541j 726.3689
SPRINGFIELD OREGON 97477 ZOnlna
INSPECfION REQUEST: 726-R~JR'- \q - 0,1- City Job Number q=tO:=r88 A
OFFICE: 726-3759 .- '^ '
AuthortzedSlgoature Sl~tw.u, ~td; SCHEDULE BELOV ~
1. E)L~~3f~~ST~~~ A. ~~it~:~~~~~~i~;;S~~~i~i~~ unit,
1:M2!}Fj~;lTIOt:Jlqc:kJ Service Included:
2. CONTRACfOR INSTALLATION ONLY B. Services or FEo'eders
~ \ -, I. /' Installation, Alterations
Electrip-\ Conp:;ctcir:K-\C~t2... t:.UUruL. or Relocation:
Address 1t-!6, ~\ lS") L Elkj, 200 amps or less , \O~ 50,00
201 amps to 400 a~~G~~~~ .,~\60.00
City ru6. Phone 681,Z1Cf[..... 401 ~ps to 6.0Q.'I..\l~' \"'~OO.OO
,/ ,/e ,.~~\rrrJs ~\l.f>1POO~ . ~,O~130.00
Supervisor License Number /~:;~~ ~e~~~@-a~~~ ~~~~V" $300,00
'0 I /'Jo. ~SOrt!i~tt~1.Y.~",~",~ - $ 40.00
Expiration Date ~ . ........./U '!\,'r.O'?l. Orr.~
=#-7lC'o..CI C. ~~J..'~ii!.~~e~(!,o..~ or Feeders
Constr Contr, Numbe~'.;.L'V c....r{ I~I{~~~~Alteration or Relocation
Expiration Date ro 10' Cf0 2d~mps or less $ 40.00
~ 201 amps to 400 amps $ 55,00
r--., S gna tur~\ SSuulfr rji::. i tn~;/~~c)fi"cian Over 401 to 600 amps $ 80.00
____.... ... 1 ~\.vcUJJ;:.<-VCl,.vL-- Over 600 amps or 100U volts see "B" above
I ,. \ ~ D. Branch Circui ts
Owners Name\A~ ~ -J~\(. f)~
II ~I \ New, Alteration or Extension Per Panel
Addressd\'" l- Ol,u\i\A..,010
I Ph~ne ~t./b, {;/i0r;:
::> J~ DESCRIPTJ;O~
It P 1> T\aY)lIY\ ,(j ctcllTi Q V\
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
City ~~lci
O\INER INSTALLATION
The ins~allation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
---------------------------------------
DATE:
RECEIFT 11:
RECEIVED BY:
~~/9'? 7
??J-::2."-'"
/A'~
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It ems Cost Sum
1000 sq, ft. or less $ 85.00
Each additional 500
sq, ft or portion
thereof $ 15,00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40,00
t/'
$ 35,00
'75::'-::>
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit ;?
2.00
<y;#v
$
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 /.7$'
3% Administrative Fee ./ ~';>
TOTAL L-/2./ 2.