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HomeMy WebLinkAboutPermit Electrical 1998-6-8 . . SPRINGFIELD . . 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