HomeMy WebLinkAboutPermit Electrical 1999-6-14 (2)
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SP aFIELD
The following project as submitted has the ibll6wing
loning. and .does not fequire specific land US~
approval. '",,- () _
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225 FIFTH STREET oOlng (; -tl-f--Cj '" ELECTRICAL PElUlIT APPUcATION
SPllINGFIELD, oREd6N"9'1tiTl ;<:M.)
INSPECI'ION REQUE~ho~a6.slj'6Q,re' Ci ty Job Number ~ 7SZ9
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
7'2~:/ M;1l..~~~-:?,
LEGAL DESaumoN 1<60,)" O~I.;
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;
JOB DESCRItrION i,
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Permits are non-transferable an~ expire
if work is not started within 180 days
of'issuance or H work is suspepded for
180 days. ;
i
2. ",,,......ACTOR INSTALLATION ONLY
M9'hJ/4
Electrical Contractor ~"'c~j-2:_
Address d/?? k/ 2~A-y"
Ci ty L/ .,,,,d. Phone 3' '1'5-;; 2..9.7
supe~viso;rLicense Number O'~~-~
I D/9'l
/77_52-
/3,/9 J
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
~~~/4~~~
ovzf?~ame--P'';~~AL~- D.
Address 724/? "f;;:.,;q S4-"7~)~'j. "'~?-.
-' J _' _
Ci ty ~~. Phone 7~e: '7""<:
J / 7~ :
OllNER INST LA'fro'F :
The installation is being, made ~n
property I own which is not intended
for sale, lease or rent.
Owners Signature:
I /
Dm~-:------fFtrcl7' q'Jj~:_, --.
RECEIPT;: '~:(' '-i ;"L., '-1_
RECEIVED <BY'n ".fII. ~ "'--- _ '
3. COHPLETt FEE SCHEDULE ~ELOV
. A. New Residential-Single or
Multi-Family per dwelling unit.
Se'rvice Included:
Items Cost
Sum
1000 sq.ft. or less S 85.00
Each additional 500
sq. it or portion
thereof S 15.00
N(Ji4\i;1IIf,nuf'd Home, or '
THI~~~~~~f~EIFTHEW?~~o.oo
AUTHORIZED UNDER THIS PERMIT IS NU r
.B'C~""'Yi~~ ~AIiJ()ONEDFOR
"tn,nOS' 't"al1.ii:U.9R'l"yAl tera tions
AN*-1 ~!ilB1Yatti'Ot'lP
200 amps or less S 50.00
20I'amps to, 400 amps S 60.00
401 amps to,600 amps S10Q1iOP
601 amps to 1000 amp~,.. '''Q\Jil!$>I~.
Over 1~~9 ~ep.!!i,voJ.<t's \~ ,~~ ()le\,$300~' h
RecoJl1ie~t'lOn;lYdollted b 1 . _, ,IoS t$e4'G'~t 1
lollOW 1\J\e~-;'()ter. Thu"~ . - OM'\ 952
C. Tem~til\~.',i(S~~i,C;,~5HOi!1IP~~~~11~~ lules b~
Ins't~~i\'t<j;on'P 1(l\l\lt6.i\d~'i\\eQr"~,_t<ion
Ir 0 '(ou lTIa~ ~Note', t\1e ilicatiO\1
200 ~h\I~,% tiles~~~;~'1nn utility ,~\Ol~. 00
201 amp,slTltOI ~G(j:1'am~si>nn.~3't-2~5. 00
Over 4'df to ~eaiDp'S' $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
)
-=?S; -
One Circui t'
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
S 2.00
E.
Hiscel1aneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
SignlOutline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
S 40.00
S 20.00
S 36.00
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