HomeMy WebLinkAboutPermit Electrical 1997-1-9
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225 FIFTH STREET \ A /11l1 ELE~AL PERMIT APPLICATION
SPRINGFIEl.D, OREGON r9'7'4''n - '(\ 'f'!'- ~~ 'l'lO q 7 / SOd
INSPECTION REQUEST: AUl~~9na\Ure t:,. - :j..?\?<~\r t:i~l(S~ Number ~
OFFICE: 726-3759 "\O~\C,... S'f\Il.\.\.~ .,..?~?<\l.X..&.
\' c~\l.\i . 3 "'~ -WIwL'Erl'o~ . SCHEDULE BELOII
1. LOCATION OF INSTALLATION i\\\S?<- ~ \J~\)'" ~~\)O~
I d.. h,O HLLi VI o,'jiv.a?<\te d\'t\S ~w Residential-Single or
~ ~~~~Q ~lti-Family per dwelling unit.
LEGAL D~SCRIP'fIJW.? ')< I rr:p;./~~'{.,?f:.?<~ Service Included:
V'Y)Q b.L1 e-, / j D:-J. ') ::::,L ~~ It ems
J~B D. ESCRIPTION _ I 1000 sq.ft. or less
r-;a th V'e.vYltJNe1 Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular ~welling
Service or Feeder
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~os~ ~rLJQra:l1iO'7\..
Add res s f3'Q C17Co ])(U...l Lo..n~
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CityCUq~ Phone~-0'1()5
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Supervisor Li cense Number J!iLfn P, .5
o Expiration Date /0/ f /9P.
Constr Contr. Number 5tj.,tf31
Expiration Date 1jSQj3Ji
Signatu~uperviSing Electrician
-{,,~~~,,~~
Owners Name--1:!nQ..r. '-'-;/J{~'
Address2l 'l~ ~ Aive;'-u)t1f/{ /}JJLd..
City eu.a_J_tl/l- Phone_JI2f~-1{)()f
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OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-
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RECEIw-I: . r-..L y. "( L- f"
RECEIVED BY: ~ ':1'/lJ1 /1 ~
,
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.
$ 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 100u voHs
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 40.00
$ 55.00
$ 80.00
see "B" above
One Circuit $ 35.00~=5"~
Each Additional
Circuit or with Service
or Feeder Permi t ..z. $ 2. 00 /f~
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
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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