HomeMy WebLinkAboutPermit Electrical 1998-7-29
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cO t>,'/ "tf\IOO.Authorized Sig'I'!II!H~ T P1':RMT'l' APPJ.Tr.ATION
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726-3769 Ci ty Job Number 9:3 c5 515 )
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ ~ Installation, Alterations
Elec trical Contrac tor (!E/t//Jf,#-/7;1 1'0,LL /AVor Relocation:
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Address I ,cPr if-6v"'Y/L 200 ampsf8/~- f~ON:O~_ $ 50.00
/) _' c. _ ___ 201 amlWo 'l"'400e!/jmBij ~'Ml/aWI'OO
Ci tyL:../? Ler:; Wk'-t-- Phone I) 9'5 ;(?~ 401 am~il6 lFC\llMl ~~."u oyth 1f~@@'ou.1a..-.-
601 am?;>. '\fI s~91MB; , nos~ r roa..Jti/ity.-
Supervisor License Number Over 10080ell'ipu;hJtcIJI,t'MJIUthroug fDfGUDttIr-
ReconnecC\!l/l11og.lhe Obt<l~e ~61'~-O<:O1 -
nUmber foe center. (Note' s Of the rUles - -
C. Temporary S'tY1Y,l-,~ocegd'~~!!/:r!;te/ePhon by
Ins talla t ion, 'llfl'i:~L1a8e{j_'33 ~~!cM.l'bn
. -2344). Ion
200 amps' 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION J/
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'f~_)2~W3~31 0 0
J07B QliSCRIPTION
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Permi ts are ,non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Constr Contr. Number
hAIl /f1 /J
Expiration Date {I- /'0-1 r;
Sign#;~ s~er;o~an
Owner; Nal rFu. t1LrL 6 ~f(le \ D.
Address .p. (J.Eo'XlL/ 1 ')
City GIQ/iAY...- Phone iL/"-//4&O
o
OYNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signature:
",
oAT~~----~-Jl-q-rt?-91-----------------
RECEIPT 11: {)J( ()<f U-
RECEIVED BY: "'-I. .lfh-rA________
.. S'-,FIELO
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3. COMPLETE FEE SCHEDULE BELO\!
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res I $ 20.00" j n. 00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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