HomeMy WebLinkAboutPermit Electrical 1998-8-21 (2)
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Oat8j~1 J 7 - ELECTRICAL PERMIT APPLICATION
9747i!uthod ' ,On;O,12
726_37billldSignature~City Job Number ~/Y. '1,,:)
3. COMPLEl~ t~E SCHEDULE BELOV
LOCATION OF I"N,STALLATION
\Q':)! LJrnU ~ . A. Ne1J Residential-Single or
Multi-family per d1Jelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
'fGtjo~~Y.r:er D / /P 0 0
"
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JOB DESCRIPTION ~ J ^ ~" ^,,',r^ I
(\tmr\I\TI:'~..I'cmJ ,}I1.J.q~JJ~
Permits are ,non-transferable and expire
if 1Jork is not started 1Jithin 180 daj~
of issuance or if 1Jork is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor$ P\..uIT,~l(\ \~.
Address..t,/l 1t,~1-.. .
"'\\1t\,mf'll;b~A, . '
Cit,~ Phone'7J.j.I--1~1b
SupeL"V'isor License Number I/o 2bS
I
.,
IO-I-Q5?
Constr Conn. Number 35?4Q
q-I-qg
Expiration Date
..Expiration Date
~2~;:~'~
01Jner~ Name Q\~hM.rL~~i\.fi.tt" D.
Address iqSI ~J ~, .
Cit
Phone 1~",.;.D IQ.Q_
OIiNER I
The installation is being made on
property I O1Jn 1Jhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~~;t~/-6~~-(---------
RECEIVED BY:_ ,,~-V~ "
Items
Cost
Sum
$ 85.00
1000 sq,ft. or less
Each additional 500
sq. ft or portion
tlJ.~~qCe:. . ~ \c"\'\'I~w.~P,.'60
Ea~)\"M'anuf\Ad. ~p!g. 6~rl;\'-' :'[\5 NO'T'
MoAAI,l:a\l:E\o;:lk'l1in&R 'T\'I\S pE.R~\ "
Se J;y,~/m~tE.qJe~IM'r '.' ,""l\IE.o9.=C'll'6 . 00
fl,U I f. OR IS !>.Br":- - .
ServJlil'tl~~rJf ~~PqRI?i1.
Inst\l;J.,::(ia>t~M'ri\,'i Alterations
or Rel'oca t ion:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/vol ts, "gU \S300. 00
Reconnec toOI?~n laW requlI"~ , U\i\~ 40,00
ATTEN1\O~:n\!l~ 'P'/ \he oreljU"g lorth
C. l_T\~~r='1'~~rlllcs~a~'tRQ'~
N~lIe~l>el!tll{", cf\l'1fdUg11tGMiI ~<ltFdfca t i on
'1952<001-00 . iaS 01 \he ru as
In ~ar;l-t>b1~R~~ia' \\,a \a\ephO~a 40, 00
o . \if\5!\~ <t~14M- ar\l3illihl NO\lllca~0~5. 00
OV~rbW:l~r \till ~mllOJln'5S,;_?344). $ 80.00
. <w1rt ~~rmnpos1&OOr'O'ifOvorts see "B" above
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circui t .
Each Additional
Circuit or 1Jith Service
or Feeder Permit .~.
$ 35.00 35,00
$
2.00 10,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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