HomeMy WebLinkAboutPermit Electrical 1998-12-31
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225 FIFTH STREET ~ ,0~ 0\:
SPRINGFIELD, OREGON 97477 '5:0~~O ~\
INSPECTION REQUEST: 726-3~b9":~o~ \'"
OFFICE: 726-3759 -<.,'1'0 ,~~' ,,}' ,~~
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1. LOCATION OF INSTALLAT~Iffl" '~f",~~<0
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LEGAL DESCRIPTION
/UZ.H'1,z.. t:;],60
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
'CTRICAL PERMIT APPLICATION
Ci ty Job Number '!g / S g 9
COMPLETE FEE SCHEDULE BELOY ~
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Su:
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. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
r~ ~,1~, Installation, Alterations
Electrical Contractor ~- - tI ~ or Relocation:
Address /tY/Z- ~ ~ IIIOr/AQO amps or less / $ 50.00 5"0
~~ rHl ~Ol amps to 400 amps $ 60.00 ----
City::::~ Phone :7,;z9-/5:0~U SPffil;l.p~ amps to 600 amps $100.00 ----
r7 . rf-tOR,~ii.01SitPlps to 1000 amps $130.00
Supervisor License Number 1"15-S COMfr.t l.2'o0u;\J~ob€XGntlwl.volts $300.00
, Arv', 'SVC!RecotfliiR. 'r1-/?~'WFrf-tf W. $ 40.00 ____
Expiration Date /Z/ 0/ ' r 1800 ,uORISA PfRM uRI(.
c. ~ }'U<tI1)~?Fafyll\~'U'V!',C(!s'SqfQteeders
Constr Contr. Number b 3,/'5:>7 6t;~ ~ Ins~aVlation; Eiu.lt~Ratlon or Relocation
'Expiration Date /2-/'1'1 200 amps"oT less $ 40.00
( 201 amps to 400 amps $ 55.00
Signatur~ of Supervisin~ Electrician 4/f&N Over 401 to 600 amps $ 80.00
f) h /, If).. fOllOW IOY.41!b600 amps 01- 100u volts see "B" above
~ (r.rLA-~ NOIIIi rilles a~ regon fa
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Ovners Name 1 rJ(lr U lP1\I~~~~S2'00~~~ci' "'ho~~~Or:;~~~~.~to "
f><1'V)A N'V\ ' (JlIiI/ ollrnd}ecYB ~%~~r 'fl1lt.f~nsion Per Panel
ss C 1 U~ 1_\...U.L1 l\) l]JI bZ(}lhe~en taln:cWrJ 04A9;;tfOrth
If} r 2l rforl etVv~ttlfts Of the '001. $ 35.00
1_ Ph on e--fL.,A..tJ CSflfe a rMfijlt~rt@k/}~Ufes by
~ 'fJ~l:.~1JiIy~SIt, SlleVlce
STALLATION or Fee'l!l?r2,1>4lIj~iG!ltion $ 2.00
not included
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
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--------r-A-7Tc~- ----_-- . --- 5. SUBTOTAL OF ABOVE
DATE: l-T-~, ~5% State Surcharge
RECEIPT *:. ~.;1, 3% Administrative Fee
RECEIVED BY: ~'TOTAL
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
$'40.00
$ 40.00
$ 20.00
$ 36.00
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