HomeMy WebLinkAboutPermit Electrical 1997-2-28
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The following project as submittoti h~e:; th~ fa
Lonln.g. tild d('ln~ net rnq.j:-3 ~t=':.::-:~::.: !~""': ..; t::
apPi'ovJ.l.
225 FIFTH STREET I' I' / ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ZOr.i"\L~C/ :; '2
INSPECTION REQUEST: 726-376L?"!~d't.::.i:J -, Ci ty Job Number q --; 0:::. I ~
OFFICE: 726-3759 N ~
. Autilorlzed SignalurO) ~PI ~T~ ~~\LSCnEDULE BELOII
1. LOCATION OF IN~TALLATION 5
~ S 53' 5 rrJft...Lf\I SI- or''iF-('fcl,A, Nev Residential-Single or
flGAL DESC(RIPTION /70) 3/Lf ';)1)lf9 e/l ~~~~~~:a~~~L~:~: dvelling uni to '
/-.ar mP-r,S L,u,<::oG!J::Q.rv;? - Items Cost Sum
JOB DESCRIPTION \
( C!. (J( J U V' ; +<... c.,,, <; f..er...-... w; v-....., \....c" <:. )
" . {
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2.. CONTRACTOR INSTALLATION ONLY B,
Elec'trical Contractor G IObA-1 ~u ...~i-~
Address~(...., T rv~ 'Vl)o.A,
C1ty~ ~F';;;fV~fJ(?hone 46 (- C; b:S 7-
Supervisor Licen,se Number I? h '2 ,T /.... e
Expiration Date I()-() / - cri
Constr Contr, Number :1.(,,-711 C. L E
Expiration Date I():-Ic)- 'f"7-
Signature of Supervising Electrician
M}~
. Ovners Name lb.df:1I;A-5w...a1f~-
Address I 0 Lj 0 \.U (....,!:.\...
C1tyL;-r-rwc; f;M Phone 7?- b-l q,Cil\
O'I/NER INSTALLATION
The installation is being made on
property I ovn vhich is nOl intended
for sale, lease or rent.
Ovners Signature:
DATB~----::r1~<rft1r. ~ --------------
RECEIn I: .' () qI-';{ /L r
RECEIVED BY: . '-A c i 1/1 j I",
! -
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dvelling
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
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80,00
volts see "U" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
8% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
36, tJt'
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