HomeMy WebLinkAboutPermit Electrical 1997-11-6
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Tho fonowing project as oubmlllod hlln 1M ~n()wiftll
zoning, nod doos not r0qulro opiKllio lnotl \IW
approval.
225 FIFTH STREET Zoning ( ( >
SPRINGFIELD, OREGON 9?-~l,7.I~lP ~Ct'1_
INSPECfION REQUEST: 726::!J'ro'J \ ^
OFFICE: 726-3759 Authorized Signature ,n \ fY\
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1. LOCATION OF WSTALLATION rt7
C;-7n ~ }{'l'~ Yt, ~k'''J;C.Jtf''Ih 'INn A.
, ,11
Jj~:;'fPTION()~Cf)
JOr. DESCRI}'TION 1 17
t>~ ,,-I{o&( pi-- {up vi{~ tlltw!1e<. <1e.-"f'
l X'D (" (--f-m... .
ermlts ate non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number ~ ~ () ?-/'\ I
COMPLETE FEE SCHEDULE BELOIl ~
Nev Residential-Single or
Multi-Family per dvelling,unit.
Service Included: '
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dvelling'
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACfOR INSTALLATION ONLY 'k ,B. Services or Feeders
/ ~ O~ Installation, Alterations
Electrical Contractor...&..;::;"t.?IJ~, ~")~"'^ or Relocation:
~' , '~ ,-.
Address l.2folt- .h.{y./,t:"~h,,, ~ ~~~.)o' 200 amps or less $ 50.00
/' ,.0: >k ' u:l 201 amps to 400 amps $ 60.00
City..,,.., (/(-c Phone""OG~Jf~~ ~ 401 amps to, 600 amps $100.00
. "f'1....,:a el (~01 amps to 1000 amps $130.00
Supervisor License Number /{'sS RE-<:J.. ~~ ~A ~er 1000 amps/volts $300.00 -
'~ ~~~nnect Only $ 40.00
Expiration Date /0- 1- '7<t t> 'S!: U',o '*'
, c~Q~~~ry Services or Feeders '
Constr Contr. Number 37- 7t:.,2 CL E; ~~~tion, Alteration or Relocation
I I (:)..('> ~ ~
Expiration Date If) / tf'.fl 20~~:I'fiT less $ 40.00
201 am~ to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Signature of Supervising Electrician
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Ovners Name--1J.luJ''''''7\!.'' j..{(1II1~( fJlik D.
Address S- 70 3 ~,'u J1,
City5f1~./",",j;.iLphOneJ.9h-4hl-C<{7l
OIlNER INSTALLATION'
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The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~Signature: '
"
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DATE:. ' II. 0 ~~
RECEIPT I: l\ ~ '\
RECEIVED BY: ~A.. . ,i \ 'j)
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL