HomeMy WebLinkAboutPermit Electrical 1997-4-30
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225 FIITH STREET' , L- L/
SPRINGFIELD, OREGON 97477001110 -
INSPECTION REQUEST:O"\7,~. J
OFFICE: 726-3759' .,..... ~ A
A\.nhorized Slgnature~ ' ~-\- 3
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1. LOCATION OF INSTALLATION
-p~K/J M~'hJ
J 7f}13.,E~r(J).s 00
JOB DESCRIPTION-r:"" /'0
Ad/'L I-~c.p"p/./;',d tlNd .5't1# C-/J.-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~~ ~"'p(Jr-atJ;C17\....
Add ress 8'9 C17ro J)(U...I f..a...wL,
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CityE"UQe..b1e Phone~-09(')5,
~
Supervisor License Number 1St, R .5
Expiration Date /0/ f /qp,
Constr Contr. Number 5t.f-tf3 f
Expiration Date CP/:s.o/9P,
ELECTRICAL PERMIT APPLICATION
City Job Number 4/0.lC:::;~~
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
....,
unit.
$ 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
Signatu Supervising Electrician
/'~~ R~,
owne~s Name~ ~A/?d-oJj D.
Address4"6SO /YJCLCn
CityMI?- Phone 465 -&70
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~A~~~-~~!~-C)t~-----~-----------
RECEIPT 11: I ,CJ i~LlU '
RECEIVED BY, 7'\' Ir-UA _
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit /'~ $ 2.00 ~~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting /
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00 ~
$ 20.00
$ 36.00
/ / /y' q!L.
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