HomeMy WebLinkAboutPermit Electrical 1998-1-21
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225 FIFTH STREET D&t~~ E' ~~~IT APPLICATION
SPRINGFIELD, OREGONA.ll ~4J1. '" M i-~\~~~~~~ q GD 7/-
INSPECTION REQUEST: ~l;~~lll~\\.,t.\ '/r.?-:'/' ~~t~~i&<1ilClmb7r 1l 0 \U
OFFICE: 726-3759 _ ~O\ ~~~ S"("\~~"iO~ '
s~€ "'3~O~~1ki'jO..E SCHEDULE BELOV
1. LOCATION OF );N.STALLA'I;I:ON -<;y,~ O~\t't- ~\c:,
~n ~\D.r0"(\C{J'f1.-t )&s>.-<;'(I. '~C'C.\t.PewnRlfsidential-Single or
" . U O\-!l~ \"\fMlfIff-FamilY per dwelling unit.
Lffn~':1T/FTfO~ (0700 G ~~ ,~~ Service Included: Items Cost
-0
JOB DESCRIFTION
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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. w".....ACTOR INSTALLATION ONLY
Electrical contracto~t.n f ~
Address :?Zz.:r ~ ~
Ci ty Ar~ Phone..bJiF 17R,
~ -
Supervisor License Number ~)~ S
Expirat-ion Date ~)f?
Constr Contr. Number/O?V/7
Expiration Date /2/ q,f
Signature of Supervising Electrician
d~~
Owners Name ~~ ~ . l ;-:t\-
Address ~ S:-\~i~n-Auf-),
City~\, Phone~.:.4:~
OWER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~Signature:
-,
J iJ-dc;r
RECEIPT I: I fl:V!t!;,)...l.I
RECEIVED BY: '- U - t/h bI.
DATE:
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Hodular, '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
Sum
$ 85.00
$ 15.00
$ 40.00
~. $ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,c:"(), -cD
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or.,Extension Per Panel
\'!
Hiscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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