HomeMy WebLinkAboutPermit Electrical 1997-1-27
. .
The following project as Gubmlttco n:,~ til::- ."':.,'
zoning, and'do(:S" not requIre cpzc:iic !.....l:i 11.....:.
approval. fl CJ
Zonina l..:..
, D.te/-T7-iCL
, 974 77AUlhorlied Slgnulure tJ 'IV\.
, 726-3769
/
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OfFICE: 72?~3759
1.
LO~TION Qf INST~~TION
4'L2~ Mill V\ 7}-'
7LEGAL DESCRIPTIO~,\
I Q:J2()-:2,:J()/ q VU
~o DSC, QN '
.', ft,1J
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
E'lectri'cal 'co~t':act'or Q./\'n~Oall~~
, , ' ,-VJ-U.iV~ 1
IiddressCf?lf!tda(i Dr ,',
Ci ty@elt /lJiVv+;ffRP~J~itl/-77n-Ic,q7
Supervisor License Number 25ctlL{~
Expiration Date /()-()J -q9(
Cons tr Con tr. Number' ?)'/O?' /
Expiration Date 3- (q-q 7
s~erv~ctrician
:ners Name 1fr17uxC0i1Y
Address Lfa 7 k!txtflJl Or
Ci t~ f/nnf- Phone 770~/tfq?
~LATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Olffiers Signature: '
~ATE~---f~-;2-~~-~-~-------------------
RECEIFT #: ?I,ILI 17
RECEIVED BY: flu_
ELECTRICAL PERMIT APPLICAII~
, CitY,Job Number, Cf:!()/,tsQ
0"'"'" ""'0"""", "LO:'i" ~
3.
A.
Ney Residential-Single or
Multi-Family per dyelllng
Service 'Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf~d Home, or
Modular 'Dyelling
Service or Feeder
Serv'ices or 'Fe'eders
Installation, Alterations
or R~location: .
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps Or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
.'
Ney, Alteration or Extension Per Panel
One,Circuit
Each Additional
Circuit or yith Serv~cp\
or Feeder Permit ~ $
I
~.
2()
$' 35.00
2.00
not included)
Miscellaneous IService/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
,Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
55.(Jn
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