HomeMy WebLinkAboutPermit Electrical 1998-7-30 (2)
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The folloWIng project as 8Ubmitted he8 the foil
zoning. end does not require 8pa<:~lc lena ue.,
approval.
Zonina L'1) (l
Dete 1-\0 -'1<(;,
ELECTRICAL PERMIT tf'r.LICfff?t
~( J ~:'.1~ _"t.Jb Numb7r . L\ 1)()f i_y\
3. COMP~ ~E SCHEDULE BELOV
~ o".~ ~1/
. A. Ne{b,~~ht~-Single or
MuJ~-~JY>../f~ dvelling unit.
1>el!.\l-.J~ 'tri~~&\.1Il .'
v?;>6 '&>" ~ ~ '00 -'" 'h" ;90 Items Cos t
lS>....'- ~lS> ~ ?'O01ll~ ):,1110'6 -,~ \
10~ot.8.~~t'6~ot> ~~ ~....!' $ 85.00
EaCn~\f({f~&)afS,,5'O.Q 11109".
sq. 1\t.>:~'1!2lttf~~~ "'lS>719..
thereoflb:o-:. 01>. ~lS>.. ~O "IIlA~O $ 15.00
Each Manill\.?~J16~~-'2'r'~ t,.~ ~,iJ~'b
Modular. 'DW~~'1li S>" ~lS> .9~ lS>....,o ~
Service or fo... ~~ '0" '?;; $ 40.00
~ ~. ""'0 Q' ,.
2. CONTRACTOR INSTALLATION ONLY .B. Services or Fe~de~"lS> ~ .
-V '(f' Cl -t- Installation, Alter;?tions
Electrical Contractor\), S z.-ILc.J. ~ or Relocation:
'J 7 - I~' ~ ~
Addresv r 0 Wlff I &:.-n {;.. 'P'..o ~OO amps or less
. ~ ~ 1)' ~ ~l amps to 400 amps
Phone -;t.. %:, ~ ~ '401 ami>s to. 600 amps
9 OF) '<%- '''k ~ ;;.>0 601 amps to 1000 amps
Supervisor License Number dL/ ~J ~ O~ ~ver 1000 amps/volts
. ~ Q ~ ~connec t Only
Expiration Date 10 - 9 C; - ~ ~ ~ ~
I ''-b e' l'..11e~rary Services or Feeders
Constr Contr. Number ~ t3 S' ~ , f8,s~lation, Alteration or Relocation
't.: ..0 ~ A 1""\
Expiration Date t.f-;}- f .,- 9'/ ~~~mk'O'I' less . \ $ 40.00ll.L-
~ ~m~~to 400 amps $ 55.00
rBat,.'Jre of SAP rv~sing Electrician O~ ~~o 600 amps $ 80.00
"" A / , OVI$ ~ ~ps or 1000 volts see "B" above
vL/ ,~J ;;.>0 .
~ D. Branch Circuits
Owners Name \\1
Addres\,Q, (~ r
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3~1/lorized Slgnelure
OFFICE: 726-3759 .
1. ~ OW~~~.
\~~~~r=~
:71r'~~f\L \'QC\~
p~rm\Js are non-transferable and expire.
if vork is not started within 180 days
of issuance or if vork is suspended for
180 days.
As
?iJ
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City
"
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
Phone~
$ 2.00
E. Miscellaneous (Serviceifeeder 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 /~c:(..(J(J
5% State Surcharge r7,7S-
3% Administrative Fee ~.~
TOTAL I ~ 1, .,0
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owner~~ignature:
-.
- ~ ---~
DATE~---------I} .' . .l,{~" -- -
RECEIPT li: l I ^
RECEIVED BY: FJl