HomeMy WebLinkAboutPermit Electrical 1998-6-8
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SPRINGFIELD
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The following pro'eel
zooing, and does' not 88 ~bmlttod has the lol/owl
a" ~rovaJ, requ re specifIC land usa
ELECTRICAL PERMIT APPLICATION
City Job Number 1,q O~ 1 b
1000 sq.ft. or less
Each additional 500
sq. ft or portion ~
Permits are non-tra~sferable and expire thereof ~
if work is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for~/\ Hodular Dwelling
180 days." h "'11/\ Service or Feeder
;SYoS' '-~
2. CONTRACTOR INSTALLATION ONLY -1v~ p~). . Services or Feeders
00. V;$l '~~lnstallation, Alterations
Electrical Contractor C:\ \ l~ 0 f lf1'~ ~~O "'G~(Relocation:
~ 'dl V~ v~~<~
Address /2.. Sw ~ S+. '001;- ~O-'9 hfd;jp,s- or less
p~ ~~~~!t~ 400 amps
City r'Y\(u4P5:.. Phone..5I.H-l{..,c:.-'Jl~Cj ~OO '/~~.ottso amps
/ ,60 ~2,?:~ amps
Supervisor License Number I/) D 0 c <; Over l~ a~...B!~-t1 ts
, Reconnec r-~1'jV~
In-l-qg
I h-L.{<:.-
1D-1-4~
225 FIFTH STREET .I
SPRINGFIELD, OREGON 97477 Zoning MIL V
INSPECTION REQUEST: 726pl169
OFFICE: 726-3759
1.
Autnorized Signature
LOCATION OF INSTALLATION /.
S-f3Q ()A-kda. l
~ A>~CRIPTION "
\'\rY~'rk~4'l \CA.OO
. - - -
rlOB('D)!S~ION
~" ~Q.D.(\Qnf\L
\~tO
Expiration Date
Constr Contr, Number
Expiration Date
Signature of Supervising Electrician
a~: 01- V4--1 ---
Owners Name ~ \ If' l.J SAMs.D t\. )
Address I~ Sv....) ~~~ 'S{.
Ci ty 1\'\0. (lID. S Phone SL/ (-4.1,...;) I~ CJ
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
ili~~~T' ---\t~~;~~~---
3.
COMPLETE FEE SCHEDULE BELOV
uni t.
Cost Sum
$ 85.00 &l
$ 15.00 :30
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or"Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B"
above
A.
New Residential-Single or
Hulti-Family per dwelling
Service Included:
New, Alteration or Extension Per Panel
$ 35.00
$
2.00
Items.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
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 Il~ ~
5% State Surcharge P'\ l,c;
TOO'U. -:=Plo ~ 4c:;
WtnJ... \ 8..4 ,ao
D." Branch Circuits
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit