HomeMy WebLinkAboutPermit Electrical 1996-7-16
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3.
1. LOCATION OF INSTALLATION
.'i8Un mC\i.IY\)~. , 'SU(?)~, tFbtJ./Q;3 A.
LEGAL DESCRIPTION
/7 -.0'2 -:J/- ~ ~" ~//c:>e::::>
. JOB DES~PTI
~T,,5!~\JlIi\.ti~. Tel (\(\\.~h
~t~e non-tra~sferable and expire
if Ilork is not started Ilithin 180 days
of issuance or if Ilork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~:4.[ElgJl.t~ \~.
Address P, O.~, l4-g'J.-. ,
Cit~I\if(\l'.J}Q~. Phone '741-~1..31o
Supervisor L9~ense Number . I b g" S
lb-I -qg
Constr Contr. Number 0 :\~Lj.q
q-I-q(o
Expiration Date
Expiration Date
Signature of Supervising Electrician
&~L#7~ D
Ollners Name"TC'.1 (ll\\lto\;U;IM'\I~~.'
Address~h(tCL l\)1\..
Ci ty P 11 IV_I'M) Phone 424.;. 300b
OVNER~NSTALLATION
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SPRINGFIELD
~
ELECTRICAL PERMIT APPLICATION
CSice::s~ 7<
.--....C1 ty Job Number
Nell Residential-Single or *
::::::::m::: ::~::::l:::O:nit. t.' >
Service Included:
Items Cos t Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'DIlelling
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 ~O
$ 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
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
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Nell, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or Ilith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
. ' '
e: . _..:... ,"' .... - lilt ou,bmll\ed hfa the 'ollowing
zt>nlng.llJOd:IlQOJl not require 8pe\:lfic land USe
apprOlleJ. . ..'...,.. .
Zonino C. G
Date~
9M~rlzed Slgnaturo
726-3769
The installation is being made on
property I olln which is not intended
for sale, lease or rent.
Owners Signature:
--------------o------r~----------------
DATE:. 1- t - q l<? ' '
RECEIPT #: t).;::::) ~ L{ :?l'. ."
RECEIVED BY: \.~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
50.Qo
~.5:0
\.5n
"'-,"4.00