HomeMy WebLinkAboutPermit Signage 1997-12-30 (2)
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~01\Ct:. \. E~PI?E Ir IS \'IOi
225 FIITH STREET E?,,^li S\'I"'I.: \'lIS PE?,,^I"\;w;:.Cl'RICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 i\'llSP EOU\'IOE?i O\'lEOrOI'\ . d
INSPECTION REQUEST: 726-37R3i\'lO?I-Z; O? IS ",~"'\'IO Ci ty Job Number CJ 1/7 ~ 1\,
OFPICE: 726-3759 ,,^,,^E\'ICEO ' . *:.
- CO ^ 01\'( p~f\\lgl?' COMPLETE FEE SCHEDULE BELOII -
I. LOCATION OF INSTALLATION~ \611
:2380 MAIN STR.a;T ,A. Ne\l Residential-Single or
Multi-Family per d\lelling unit.
. LEGAL Dr~9'tPTIOr') I Service Included:
f7 D3JIP.'4-L D 1,0 Items Cost
JOB DESCRIPTION 1000 sq. ft. or less $ 85.00
.<::JAR. A1TrO RODY 5 PAINT Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular. 'D\lelling'
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor ~aftili\ ~ros S/(;1nS
. I
Address .204 (JEFFEI!50/lJ Si. 200 amps or less
201 amps to 400 amps
City_r;(/~fJM' Phone 3t./1..-17~lj 401 am!,s to. 600 amps
" . 601 amps to 1000 amps
Supervisor License Number :2. 0 - 33 C-LS ~ Over 1000 amps/vol ts
I / Reconnect Only ~
Expiration Date 10 1 qf3
ro'-/~18
3/ q !qg
Permits are non-transferable and expire
if \lork is not started \lithin 180 days
of issuance or if \lork is suspended for
180 days.
Constr Contr. Number
Expiration Date
Si~f~ectrician
O\lners Name
_ /J i.1..r{l _
Address 1"2... . n,-j-,.
Ci ty5frt'1ti l~d-Phone It! l-f1lj2-
OllNER I S ALLATION
The installation is being made on
property I O\ln \lhich is not intended
for sale, lease or rent.
Ovncrs~~ienature:
;7,~~~-----/~~/'?l)1'7-~-~------------
itECEIl'T": ,~ '. V'I 't -<1~.1)
!(ECEJVED BY: y<" If/VI---
Services or Feeders
Installation, Alterations
or Relocation:
Sum
$ 15.00
$ 40.00
S 50.00
S 60.00
S100.00
S130.00
$300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps.'oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps Or 1000
volts
$ 40.00
$ 55.00
S 80.00
see liB" abov.e
.'
Ne"'. Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting V S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE '<"/O.IJ{)
57. State Surcharee ;1." v-o
37. Administrative Fee I. Ln
TOT^'. ,/
--=:13...1-0
D.
Branch Circuits
One Circuit
Each Additional
Circuit or \lith-Service
or Feeder Permit