HomeMy WebLinkAboutPermit Electrical 1999-2-12
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225 r~r'D STREET A"~
SPRINGFIELD OREGON 9/J."I1d Signature ~
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INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
02111/98 10:22
'5'503 726 3689
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1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
nO'), ;).5 3J.. 10 +0'1)
JOB DESCRIPTION, ,
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Permits are non-transferable an~ expire
if york is not started vi thin 180 days
ofissuanc:e or H york is susperded for
180 days. !
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2. CONTRACTOR INSTALLATION ONLY
M~/?;14
Elec:tric:al Contrac:tor ~",~~j~
Address d/7S- kf 2~A-y.'
Ci ty ~/ ~" ..d. Phone 3 Y:}-7 Z. 9.7
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Supervisor Lic:ense Number ~~~-;>
/ D/99.
/72-52
/D/9,/
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Elec:tric:ian
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.........~ .r~dY'7'~4
ovnerUme 'T.trrt.L<=o: kJ.-c...e~
Address_I?"c,<; ~I~~
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Ci ty~ Phone l'
OllNER INSTALLATION
The installation is being made ~n
property I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
iiATE;~------c;:t(4zrr--\;
MCEIn,,: //' 'r '
RECEIVED'BY: - .0 iTl "" (/A /\
SPFD DEV. SER.
. Il!I 001
Sptl~~ELD
ELECTRICAL PERHIT APPLICATION
~ City Job NWllber qq fJOC/9
3. COKPLETt FEE SCHEDULE BELOV
. A.
Nev/Residential-Single or
Hur~4uF~~i~y~~~.,pvelling unit.
S" ." r.I"'1 d d' ',.,un la
eC1f,l;c.et,~nc: 'u ." : Wrequ'
"C"d"O -"'''d b Ire
'n OAF/95 n Center. T'h Y t~Jj~ s Yao~ Sum
009n,v. 2'001'00< oSe rUle gOn Uti/it,:IP _
10.9~iSql/f'[,~y BE.l~SII'OUnh ~.are$:€eR:,./~O f5,
t;i1u1H~Rad'i~t~e,wt,;)~500Pies -.,"1952'00/1,
sq. f.tfcorhJ!ort'1ollJte' th o'ithe rU/es..b <11... _
thereofnt~ri uregOnUtir. eta/ept~n1:J.bo 'f'].5",
Eac:h Manuf If 1l611i~,'oJ2I'J ,vOMicar ..
Modular,'Ovelling v '2344). IOn
Service or'Peeder $ 40.00
.D.
Ser~~c:es or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
,'T ~01' amps to 400 amps $ 60.00
" 401 amp.~to_ 600 amps $100.00
601' amps1'to. :1Q09ll"1'1P~u<= '''''Ar$130. 00
Over .1000. amps~volts .- 5300.00
Rec.onn'e~iP6alyo;l.:) PER'l" I;:' 1\015 40.00
~ r:'" \. - "\" -. 1 -....n
. . -' .'-"-'I._.1IJ-;),.,
C. Temporary Services or Peeders
Installation; Alteration or Relocation
200 amps' 'aT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 voits see "B" above
D. Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Servic:e
or Feeder Permit
$ 35.00
$ 2.00
E.
Hisc:ellaneous (Servic:e/feeder not inc:luded)
-Eac:h installation
Pump or'irrigation
Sign/Outline Lighting
Limited Energy/Res -----
Limited Energy/Comm
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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