HomeMy WebLinkAboutPermit Building 1998-6-8
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SPRINGFIELD
The, following project 88 eubmllled has ho
ZOning, and d096 not require .~.._ lan' d follow
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225 FIFTH STREET ~\! ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zon'
INSPECTION REQUEST: 726-rJil/J City Job Number q,ro b 5 'i
OFFICE: 726-3759
. . Authorized Signature" YV'\3.
1. LOCATION OF INSTALLA,TION . . . I
r; 77 ()4dJ/ A.
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 ama~~ 600 amps $100.00
pQ1~~m~~-~1000 amps $130.00
\. ~~~\~'M'e!i..~#l-~I31nps/vol ts $300.00
N-\~S \..! ~\,\\~~'wn~Only $ 40.00
I f)-I - ~\<; \'~?\ _ 'IN,\J~~ .,nO~~\J ,
"\, O~\7.'CJo' - \~~t>-I'f'l!iiiporary Services or Feeders
I h-~~ _,,("~DO~ n Installation, Alteration or Relocation
CO~\J\i.." '/ I'I':.~\O .
I D-I-.c(~ I\\l,() Q~
LEGAL DESCRIPTION '
\')O~a M-0- \n1scD
(\ J)lJl Jll!SCRf~ION
<.) ~ \\'0 Nr 1OX\CY.J >
Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor AIl\'lJ fl~r!rt>~('.
Address /2. Su.) ~~ s.+.
City r'Y\(jdm~
Phone <;~\-4..,c....~<i
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
I"I'
Signature of Supervising Electrician
tJ./L. 0 -- v-(~ ~
~ \ I@ 10 SA1v\.SCH\ )
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Address I;:). ~1.0 <-,v= S-\-.
City l\'\o.dfCl.S PhoneSL/I-lt,I\.,J 1<.,<1
Owners Name
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~-:~------~-----(~~-~~-;;~--
RECEIVED B'y: 1.~\\~o3V"v
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 PAC)
Each additional 500
sq. ft or portion cJ d)
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bu
above
D.' Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
s
2.00
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 1/0 ,CD
5% S ta te Surcharge -t). 'J..'5
"fflTAl. 3010 ~ .1-<::
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