HomeMy WebLinkAboutPermit Electrical 1998-6-8
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SPRINGFIELD I
Tho following project as submitted has tho foliow,n
wning, and does not roqulra specific land uso
~pproval.
225 FIFTH STREET ir . /
SPRINGFIELD, OREGON 97477 ~Zonl N
INSPECTION REQUEST: 726~l
OFFIC~: 726-3759 , Aulhor\zod SlgnatureJl .
1. LOCATION OF INSTAL't\TION M
seif tJ~ J~ A.
~1ESWPTION
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Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.'
Expiration Date
Expiration Date
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~-:~--------~--~ro~?J ~ -~---t
RECEIVED BY: Lu \~J)...) 3\L\\ \
ELECTRICAL PERMIT APPLICATION
City Job Number CJ.i0C7J7
r.OHPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cost Sum
I $ 85.00 xes
?- $ 15.00 Jf.J
$ 40.00
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
'l'6'l'fl:h 30/0,
--roWL
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor ~ III? \J f l~r:lf~r or Relocation:
Address /1... Su.:> .,."r;,J s,+, ~ ~.V/}"l 200 amps or less $ 50.00
;v o,() t.~ 201 amps to 400 amps $ 60.00
City MnriyYI"-. Phone S4\4%-~"\1' 401 amps to 600 amps $100.00
~ _~~~~~ 601 amps to 1000 amps $130.00
Supervisor License Number /~~~ ~ Over 1000 amps/volts $300.00
, 0 ~ '%" Reconnect Only $ 40.00
1()-I-G8 'SIp., O~ ~ ~ '
.~.'~ ~JC.~~emporary Services or Feeders
Constr Contr. Number I h-L.{C" .~~ .,~.~,() ~stallation, Alteration or Relocation
. ~ ~ ~.
ID-l-41S' ~ ~~!is or less $ 40.00
~ 2~ to 400 amps $ 55.00
Signature of Supervising Electrician '~v~4 to 600 amps $ 80.00
a} /J /J JJ ~er ~OO amps or 1000 vol ts see "B" above
A~. . L::I'P ,- V-V--'I ---
D.' Branch Circui ts
Owners Name tl. \ \p 10 SA-rvU"n II. )
Address I~ 'S\D <,'~ 'S-\-.
City 1\'\0 eli-o.S Phone SL/ I..lj/~.,;) Is, Cj
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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