HomeMy WebLinkAboutPermit Electrical 1997-8-28 (2)
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SPRINGFIELD
Tho fOIlOWing~rOje . ,
""ning, and t ~ submitted has tho followin;j
approval.' require specific lend uw
Zoning;; / -0( ;q 1
Dote 6 v 'ELECTRICAL PERMIT APPLICA;;N
974,77' . ,1'\1 .
72'6'!J::3%~ Signaturl Ci ty Job Number 0..1 Y\ \
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3.
1. A ~9WI~r-kNlLATION
\\~ ) "'_",'II 1\1~ . _ . A.
~GAL DES~PTI \ U~Q'::{Ji~
L//9'O.~'-5c..1~ - .
+f\ .".J?{I D&S..~PT.AA~r> (/ ~ .
~l \),\D.iXJ{ _~7 99
Permits ar~ non-trans er e ,and expire
if vork is not started vit in 180 days
. of issuance or if york is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Electrical contractorJCt~~~~;J~
Address PD. (2,0'1.. I bl3.;1 3
Ci ty So.l.~ V'v\
Expiration Date
Expiration Date
Signatur~of ~ervising Electrician
~~kB~~
Owners Name~'11'1' .~YVV'S ~
Address '8Q s. ~c;fiL AtoUi I p() j2,t51( LlSl
'--' .
Ci ty yY)DY1YYlmrl-h Phone. .",~-\l; ~\S-OOCfIo
OIINER INSTALLATION
The'installation is being made on
property I ovn which is not intended'
for sale, lease or rent.
Owners Signature:
DAT~~------------~~lK \ ,------)
RECEIPT II: t\~~ru1\ ~
RECEIVED BY: CJ" ~ V .__
COMPLETE FEE SCHEDULE BELOII
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cost Sum
1000 sq. ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof S 15.00
Each Hanuf'd Home. or
Modular. 'Dwelling
Service 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 $ 60.00
Phone150~-!1~.~~481q 401 amps to 600 amps SlOO.OO
NQ1\~t:.; ..9..CMI=~Il~Et,ijOI.lOOO amps $130.00
Supervisor License Number 2~;?'~6'~'i SHALL EYO'v'er "tQQO \i!lIIWWvol ts $300.00
ft1\;" ER~~~I~ l1nW S 40.00
10 - I - q g , rrl-ltl\1IZED llND ,nNED FOR .
t - ClOD ofC'S A~~tl&(}'rary Services or Feeders .
Constr ContL". Number ()9;OSq3>OMME.N 'ER\OD~nstallation, Alteration or Relocation
ANY 180 Ul'll f'
;;2,-/g--qq 200 amps"'Q1:' 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
One Ci rcui t
Each Addi tional
Circuit .or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
. Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5X State Surcharge
3% Administrative Fee
TOTAL
S 35.00
S 2.00
not included)
J
S 40.00
S 40.00
S 20.00
S 36.00
4/0 00
.;;..i-~
/ i?' Co'
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