HomeMy WebLinkAboutPermit Signage 1998-4-20
, The foll~wtng prn/Act os oubmlttod has the followl
ZOn' '... ;'1.' , "oJ\. require speclfk: land uso
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Dat&)../l--Cfj(
97477 n
7 2 tt'1~~ed SIgnature tv'-
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
l.~O~ON OF IN~TALLATION
".2~".. O~>:1 gf, =rr~,.r)uP 011'_
LEGAL~~S~PTIOt!..'7A IVI
I.ln~ ,""'rl ( l.JtU..J
~ JOB DESCRIPTION
/1' ~ f bl d .
ermlts are non-trans era e an explre
if york is not started vi thin 180 days
of issuance 0. if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
The installation is being made on '
property I ovn vhich is not intended
for sale, lease Ol' ren t,
O',/ncrs:;';;.igna turc:
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"1:CEIl'T U: \J .. '. - n
!(ECUVEIJ BY:-W.'0:' ~_.. ,_ ,
o'ctbtt-I
ELECTRICAL PERMIT APPLICATION
,.., ", lob Number (t:to 11bf
3,
COMPLETE FEE SCITEDULE BELOV
~, Services or Feeders
Installation, Alterations
Electrical contracto1rJr;rf-ll7 B/t~ ~1.5 or Relocation:
Address.2t? ~I ,fJ&!b/,C'oYl ~'(.~~O?~OO amps or less
. if';; I ,.t:. 'C.'I.~ ~~ \S ~1.Jt01 amps to 400 amps
Ci ty {{.( ft?./1..f..\(\"{\'v~r..o~~fI!'Jr '1~\ 'C.~\-lI A? 401 amI's to. 600 amps
. \ - c.P'C.?w.\~~ I' - ~'C.Qr 601 amps to 1000 amps
Supe.visor Licen~-e.\'N\Jm~(?e _ ,:s ~O Over 1000 amps/vol ts
,,/\,,\\\'(.0 00 \'" Reconnect Only
Expiration Date flY", q~C€ .,...p.\OQ,
\iJ.N:1 1)1>.'1 ' ~
Constr Contr. Numb~p~h /7
Expiration Date n~
Signaxure of Supervising Electrician
~'.~ r
~ +- D. Branch Circuits
Ovners Name:]i,Jd ("6 <; J1iX.~&.5 I
AddressMtJ5 Pnc.lrc IfrrjAJ
Ci ty C"~,, RfLYf:Yhone'1'!/) ~/g':;
OVNER INSTALLATION
A.
Nev Residential-Single 0.
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dvelling'
Service or Feeder
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Tempora.y Services or Feeders
Installation, Alteration or Relocation
$ 40.00 ~c()
$ 55.00
$ 80.00
volts see "B" above
C.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 0" 1000
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Se.vice/feeder
-Each installation
Pump or ir.igation
Sign/Outline Lighting
Limited Ene.gy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith'Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
57. State SUI'chaq;e
37. Administ.ative Fee
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
41).00
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