HomeMy WebLinkAboutPermit Electrical 2000-8-29
~ Apr-19-00 12:61P
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The tollowing project 8S submitted h~~ the following
e uire s eClfle land use SPAINOFIELD
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Authorized Si9.nature
US FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECrION REQUEST: 726-3769
OFFICE: 726-3759
1.
(1.108 DE~~~N fl
JfQu;f? - JUl-L'PW ~9f)
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if'vork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical contractor~)l~c,
Address 'VI) P-,n"" ;:;) '7
Ci tyJ\NY~ bn~ r,.j,~ Phone C\ q ~. 5~ 4i.
Supervi~nr License Number 3CJ J '1 .S
Expiration Date ~I
Consu ContL Numbe.' Cj tiq oq
l/tRlol
Expiration Date
City eu.Cr&lvtr
OI/N8R INSTALLATION
The installation is being made on
property I ovn vhich is 001. intended
for sale, lease nr rent.
Owners Signature:
- . -- - :.. ::.-;:::.-~. ",. - -
4%::"-_.-0 - .. __~ - ,-. -' U'I'~
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- -------7---~--------------------
DATE: b <f; I Z- 9: ;,,-0
RECBIPT " ; ~CJ'i ({' .
R.l!CElVED s'r,____.J),!:
Vii II) LtLkl No. 5.2/9
ELECTRICAL PKRKIT APPLICATION
Ci ty Job NulDbor L') (;) - 0 11>/1 -0 I
COKPLETE PEE SCHEDULE BELOV
Nev Residential-Single or
Hulti-Family per dwelling unit.
S~rv ice Included: - - .
Items Cost Sum
1000 sq. ft. or less
Each additional 500
sq. ft or port ion
thereof
Each Kanuf'd Home or
Modular 'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only -~
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
5300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
S 40.00
S 55.00
S BO.OO
see "B"
a 1i"Ov'e
200 amps' 'aT less
201 amp. to 400 amps
Signature of Supervising Electrician ~~7~ver 401 to 600 amps
.c::=:::-- ~ 7~ _ 10 _1vor 600, amps or 1000 volt s
//~_ - ._ ...7__...................-c- ~F/~~
. D. Branch Circuits
Ollners Name EM&aAtLJ {,M/e7 4-.ur=
IIddress'S~ LJ, II +~ A--ve
Phonp. 'Sl.{2-2bz.b
.-L
Nev, Alteration or Extension Per Panel
.'
One Circuit
E<lch Addi tional
ci rcui I or wi th servic'L
or Feeder Permi t _
E.
Miscellaneous (Service/feeder
-Each Installation
,Pump or irrigation
Sign/Outline Lighting~
Limited Energy/Res
Limi ted Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State surcharge
3% Administrative F"'..
TOTAL
.-
$ 35.00 3,2..:-
2 .00 Z-:::
s
not included)
$ 40,00
$ 40.00 "$.1' -
S 20.00
S 36.00 -
/7 - ~O;;d
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~ ELECTRICAL PERMIT
~ CITYOF~r:h~-t;.Q.ld
Date: ~:-d 3 -0 cJ Permi! No,
Project ~ddress Q? II S () 11.1 ~ '0/ l. S't.
I
Permitted work
an owner wiring his own residence or installing a temporary
service.
X
Contracting firm lli Sn i'\ Z/pr+h'c :r:~
~ising Elect -.' ,,~C; ~i;:]921j5
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-~-
. INSPECTION I I
INSPECTOR DATE
Underground I I
r
Service I I
Cover I I
Final I I
THE BUILDING DEPARTMENT Signature of Inspoctor indicates approval
1-800-358-8034 Not transferable
BULK LABEL No. 5219
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