HomeMy WebLinkAboutPermit Electrical 1998-12-11
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225 FIFTH STREET Dale )] -II
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-~SIslnahn 'KIA)
OFFICE: 726-3759
1. ).OCATION OF INST T ON 7J. S ,uk Lbttt.9}'
oi(v()1) e; - tf f! A_
"-~SOO I~ ("\D. 0
~1'J4\ .(Y)~
JOB DE~PTION NOTICE' 1000 sq. f t. or less
_ f!, ~~ ~ St~/.1Cp TI-II" nOR . Each addi tional 500
AI" - MITSHALEq.. ft or portion
Permits are non-transferable and elpfr~'ZcD tfi'lf'ffOeJ./F.'T'
if work is not started within 180J~!!\Yel/(" UND~ii'c,hllM'muffYCIllim.l!/(or
of issuance or if work is suspe9,~~yd forA:D OR IS ~24~,fal.fRN.~~5t~r
180 days. "'. " I'"~ . _ Servi'ceJ(?rFFeecrer
"fi.....,C) -, U OR
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
C <:. f\ 8t9('_~., _~ _ Installation, Alterations
Electrical Contractor CO+- f-\ ;U:JT\......O or Relocation:
Address \.~ \ f) ()A\::.ido-.-IcO\....~.. 200 amps or less
~n c 201 amps to 400 amps
Ci ty V\JlU4'...,Q...O\LPhone L1'i3S-~L{(P 401 amps to 600 amps
o C(ll-fOd- 601 amps to 1000 amps
Supervisor License Number Lj 3 IS Over 1000 amps/volts
Reconnect Only
Zoninp a6
1.. ,.q'1
Constr ContI'. Number ~i::~~~(;S
10- / -~9
Expiration Date
Expiration Date.
Signature of Supervising Electrician
~A ....k_ ~ #1..{31
- -, //.. D
Owners Name 1Lrl.,f;: WW7..IR~.. . -~; .
... '>.t.,. -',
Address ('fld) \ 'bu..n~ 06..,", <iff 4cJr;,
Ci ty ~tL:utb.... cq/J.. Phon<;' llr. ... 5SZJ1S'40
I
OIlNER INSTALLAiFo1?O .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
lliE:::::~m~~f-------
ELECTRICAL PERMIT APPLICATION
City Job Number q <61.5) 'K
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
S 85.00
S 15.00
S 40.00
S 50.00
S 60.00
$100.00
$130.00
$300.00
.$ 40.00
C.
Temporary Services or. Feeders
Installation, Alteration or Relocalion
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
S 40.00
$ 55.00
$-80.00
see fiB" above
volts
Branch Circuits
New. Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not. included)
~Each installation
Pump or irrigafion $ 40.00
Sign/Outline Lighting ~ S 40.00 ('ZO.
Limited Energy/Res S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE l'ZO.""
5% State Surcharge (p ,.
3% Administrative Fee ;.~~
TOTAL /z.PI.~