HomeMy WebLinkAboutPermit Electrical 1998-6-25
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SPRINGFIELD
The following project ~~~~"'" ~ ;;.v"
zoning, and doee not '........w ........-
225 FIFTH STREET apprOl/a1. M A I
SPRINGFIELD, OREGON 97477 ZonI'lIU.lL'"
INSPECTION REQUEST: 726-3J.&21 Ail.( Ei1-
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Permi non-traftsferable and expire
if war is not started within 180 days
of issuance or if work is suspended for
180 days."
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor AIlI'~ fl~d,,~;-
Address 12 S W ~",.J s,-t- .
Constr Contr. Number
Expiration Date
O\INER INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Ovners Signature:
DATE
RECEIPT
RECEIVED BY:
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number (\ ~Dl(X)
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service or Feeder
Items Cost Sum
I $ 85.00 ~
d. $ 15.00 2il
$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
..~ 200 amps or less $ 50.00
1': ~ ~ 201 amps to 400 amps $ 60.00
City iV\(H9.rn5:-. Phone "'41-~C:~I~ ~ 401 amps to 600 amps $100.00,..
%.~~~ v; 601 amps to 1000 amps $130.0q L
Supervisor Licen.se Number / /) cr.'-&~'\ ':%'~. Over 1000 amps/volts $300.00'--
, <0 '1:'l ~ ill Reconnect Only $ 40.00
Expiration Date I(")-l-Gg q. ~ c:: ~ " "
.~ ~ ~x Temporary Services or Feeders
I h-4c., 0,. "'p -'9A ~nstallation, Alteration or Relocation
'<?,~~~
1D--1"-4~ . '*" U'-<>2~ amps or less $ 40.00
~ ~~mps to 400 amps $ 55.00
Signature of Supervising Electrician ~ e~Ol to 600 amps $ 80.00
/) /J /J ~ ~..J> ~ ~O amps or 1000 volts see "B" above
l/~A. l.{f:~ --- ~ ~ "%
D." Bra;gn Circui ts
Owners Name ~ I Ip ~ SM\5:,('\" )
Address I~ ':::>1..0 <"'~ S-\-.
City f\\ll rlro. s Phone SL) I-lt/,..;ll~ CJ
----......
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'l'6'l'1m a~
l~
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
1/5.ro
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