HomeMy WebLinkAboutPermit Electrical 1998-11-19
The following project ..
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225 FIFTH STREET Zonl
SPRINGFIELD, OREGON 97477 np
INSPECTION REQUEST: 726D3%Q 11- 1'1
OFFICE: 726-3759 Aut'. ~".Slgnatu,.. ~.,
1. LOCATION OF INSTALLATIlkN ,d
IOYS- ','",CrL 1/11(.,,-";"" tF .A.
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JOB DESCRIPJIO(
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Electrical Contractor J..t4.atc.o ;/f'~
Address ~'7oo n44~'-'" IA JeeP.
Ci ty ;;PR'^I:!.fi~k1 Phone '7 ~ b - 7 ~ ?
Supervl!;or Li cense Number 31? b ~
Expiration Date ,I) / /)/ / ~I
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Constr Contro Number t)/:J-"2.. ~c-?
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Expiration Date
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S;7~ of SU~Sing Electrician
owners~~~ SnDtl.d
Address} tit IJ)L~r ( Stru;e--
CitY~1.utt Phone 7%~5193
o NSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-----~-----------------
DATE: ( ..'
RECEIPT : fP- t. .
RECEIVED BY: ~ l..---'"'
ELECTRICAL PERMIT APPLICATION
City Job Nwnber!:j5(1 31./. C)
r.OHPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
NOTIUQ.QO sq. ft. or less $ 85.00
Each additional 500
THIS PE~q'.T ftll1Abir EpSffi lfuTHE WORK
AUTHORth~H;PJtJER THIR, PERMIT Ie:: ^,,\T $ 15.00
C,.,..Each,Manuf'd ome.or .
, ",' - . H.J ,~ /10.' ~
,,' 10.'. Mod U la r'~Dwe'lrl!IDfi'g)ED FOR
, ,,' Sel?v,ice,(or Feeder S 40.00. ,
.B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less S 50.00
201 amps to 400 amps 'IOePO.oo
401 amps to. 600 illiAAeClUIlOJ J .00
60.~ alWl:tQ~~h~~Ole\lV" A\:IOO
O~P:'IU~ ~.b~\fl'lleS al" S .00
~6Wrfilc t6en\l11, ,no 0" Of\t\ 9 .pO
NotilicatiOn ~.OO~othlOU... 01 tne lllle
1\~~'a~og~ 'O'()iail!s:08t~:~l!~,ej}1l0~e
~J:\reltrroeeo~1l.~~t,M t4'ltillfe1\Sga t ion
:ca\li09 the 0le900 \ 344).
20011.i\~pSl 'Sf tl)e~.!ill.800.332-2 $ 40.00
201\ amps C'~t'WO amps $ 55.00
Over 401 to 600 amps S 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
E.
One Circuit / S 35.00 ~r
Each Additional
Circuit or with Service
or Feeder Permit ~ S 2.00 ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SU8TOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
S 40.00
S 20.00
S 36.00
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