HomeMy WebLinkAboutPermit Electrical 1997-2-7
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L. lng, 6na does not require SPecific 1~'i1d ,."....
hl:fFoval. ,m ...........
'Zoning
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22.5 FIFTH S'l'llEET
SPRINGFIELD, OREGoN
INSPECTION REQUEST:
OPPICE, 726-3759
.1. LOCATION OF INSTALLATION
,!:;~C):;l, M~ ~. .
9747ltthorlZed Sign:ituia
726-3769 .
I ~1f1 ~~Fffl71~1
JOB DESCRIPTION
__;;i-e\ZJ~.i-t' ~
Per~its are non-transferable and expire
if york is not started within laO days
of issuance or it work is suspended for
180 days,
2, CONTRACTOR INSTALLATION ONLY
Elec:trica1 Contrac:t".-~~,~c.,
Addnss~/1 Uu.r-CLI \4VE'.
Ci ty!J()(t,,<,~ (k-uo Phone ~1.I1_"~'~1
Supervisor Lic:ense .Number I~"
Expiration Date led I 19.2a.
.ConstrConcr, Numb~r Q)''3,,);~
E"Pi~ad n Da~e ., I~" 101 .
Signat . of Supervis1ng Electrician
. ~ ,'.
O~r.s Na~e7-1,1, ....
Address 5<g'6'R uaA\\ ~ ~+--
CityS~Y\Yqii1"Jd Phone 7.17-/1;3/
. 0l1NBR ~TION .
The installation is being made on
property I ovn which is not. intended
. for sale, lease or ren t.
.Ovners Signature: '
DATE, . 2-7-q 7,
N><-GJ.n Ifl "l,1.f'7!L 2.'.
RECEIVED 'BY: . u~
ZOO~
ELECTRICAL PERHl:T APPLICATION
6~"r Job NU/Dbu q7()233
COMPLETE FEE SCllEOUl..E BEI.Oulln i tc' o~'t . .'.. . Sum
Nev Residential-Single or
Multi-Family per dvelling
Service 'Included:
Items
tu
1JM
3.
, A.
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof'
~ach Hanuf~d Home. or'
Modular. 'D...elling
Se'ritice or Feede::
.B.
Services or.'Feeders
Installation, Alte~ation$
or Re10ca tion I
'200 amps or less
201 amps to 400 amps
401 amps to,600 amps.==
601 amps to.1000 amps
Over 1000 amps/volts
Reconnec.t Only -
c.
~--...
$ 85,00
$ 15.00
. S 40.00
S 50,00
$'60.00
S100.00
$130.00
$300.00
S 40,00
Temporary Services or Feeders
Installation, Alteration or Relocation
O.
200 amps' 'OT less
201 amps to 400 amps
Over .401 to 600 amps
OVe!; 600 ampll or 10Qu
Branch Circuits
$ 40.00
S 55,00
. S 80.00
VOlts see nil" above
Nev, Alteration or Extension Per Panel'
.-
Miscellaneous (Service/feeder
-Each installation
Pump or irri~ation
Sign/Outline Lighting
.Limited Energy/Res
Limited Energy/Comm
One'Circuit ".'
Each Mdi.tional
Circuit or ...ith Service
or'Peeder. Permit \
B.
S 35.00 '3$'.00'
$ 2,00. ~,o:J
not inclUded)
S 40.00
$ 40.00
S 20,00
$36.00
('l{..~)
. . r::'.)
-r.-rr 1.11
L~.~"2.. .~C\.qv
n:n L6"SO,'ZO
\
5; SUBTOTAl. '01" ABOVE
5X'State Surcharge
31' AdminiS.trative Fee
TOTAL
'1I3S '.\3<1 (L,jdS 699t 9ZL tos.g.