HomeMy WebLinkAboutPermit Electrical 7-10-10
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SPRINGFIELD t OREGOt1~~~ CO ~~<() ~~
INSPECTION REQUE~~~ w-.3~ ~
OFFICE: 726-37~ ~<<. ~1.,?() ~O~ ~O~.
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1. LOCATION OF INS~ <;;)~
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LEGAL DESCRIPTION ~
JOB DESCRIPTION
,,(/&"lV hOI/SG. ~I/A.-, n'ru
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Permits are non-transferable and expire
if vork is not started vithin 180 days
- of issuance or if vork is suspended for
180 days.
2. CONTRACl'OR INSTALLATION ONLY .B.
Electrical contractor~
Address PD. Got 1~3~3
Ci ty So.lt- V'Y\ Phone, M~-/)g8-48ryq
Supervisor License NumberJ2 ;{,;:;--;a,
Expiration Date ID-I -qg
Constr Contr. Number o~o5q3
ELECTRICAL PERMIT APPLICATION
City Job Number ~;7~~S--3
3.
COMPLETE FEE SCHEDULE BELO~
. A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
200 amps' "or less ,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
Sum
Items Cost
1000 sq. ft. or less ) $ 85.00
Each additional 500
sq. ft or portion )
thereof $ 15.00
Each Manuf'd Home. or
ModularD'Jelling
Service or Feeder S 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
,~-/g- -qq
S~~;:;7~
O....ners Name~LY(~DYV\.hS. ~
Address \ 6'1. S. r:6.c.ific.. I-h..o(j / PI), i2Jnx LJSl
Ci ty mDnYYlOIJ'th Phone...5~-~3%-o0<11o
OYNER INSTALLATION
$ 40.00
$ 55.00
$ 80.00
see, tlB" above
,.
Ne'J, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Per,mi t
$ 35.00
$ 2.00
not included)
E. Miscellaneous (Service/feeder
-Each installation
- Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I o~n vhich is not intended
for sale, lease or rent.
Ovners Signature:
----------------------------
DATE: to -10- q I
RECEIPT #: ;:;. 7 L.:, ~?-
hn".,.,T",.,n nv. ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
'T'O'T" AT.
S 40.00
$ 40.00
$ 20.00
$ 36.00
/00 00
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