HomeMy WebLinkAboutPermit Electrical 1997-11-13
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""'.,'."'wai' _ ELECTRICAL, PERMIT APPLICATION
97477 to,".,.,.." ~oninglM , r/
726~37g;!e\\ _\~.-01... ' City Job Number q 7' (Pi' K '
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Authoriz&d Signature \B'. r.QH~LP-1'-E r:Z2 sCHEDULE BELOV
1. LOCATION OF INST~TION
/ b Rlo ~ ~. A. NetJ Residential-Sin'g~e or
~ Hulti~Family per"dtJelling unit.
LEGAL DESCRIPTION ' Service Included: '
/70 3 '"2, t,; :) "")-L)'"3 2(7)
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'dHome or
Hodular DtJelling
Service or Feeder .
'., ~ ~','
2. CONTRACTOR INSTALLATION ONLY dB. Services O)~f.XP~rs
(') , _I I Installal1}.oi\Y4:~rations
Electrical ContractorcfJ~.L ~, ~~.or Rel~aY~o;~-% .". '
. "T", ~; ~~^ ~ v)-
Address 80$.1 A.W~ f! I~.. 20Q a~~ ~l~;r~... ,$ 50.00
It" ' .' ",". - - 201 amp~(/l;o'~O"~!i( " :$ 60.00
CitY{;AI~f~~.' ~bone ~lf/-.OS1'1401:amps P~'t--6tiev.oa ~1:0 $100.00
. ", , .' 601 amps to '~0'6~m ~ ;~.<'. $130.00'
Supe:r'visor''Licen.s~' Nu~be~ d",& SD jlra:- Over 1000 amp~~~f~ ;~:o '1<';$300.00
Re.connec t, Only, ~<:?Q ~~ "~.60. 00
Expiration Date /0/11897" " ~S~)- "''0
," C. Temporary Services or F~~ 19-f
Constr Contr. Number !J<ft.f.qj:,{ Installation, Alteration '6l9R~cation
Expiration !Date (e('l8 200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
JOB;FJ::e;:
Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if tJork is suspended for
180 days.
Signature of Supervising Electrician
~ -iRiL~4.1~
OtJner~ Name't!iI"Wkw rW~
' Ij
Address /J8~ ~ ~.
'-- '
Ci ty 4x";"'J-.fl.~ Phone S"ot( -1<{f- ;U vy
OVNER INSTALLATION
The installation i's being made on
propeny.I. otJntJhic,h is no;t -intended
for sale, lease or rent. '
Ovners Signa ture:
------------------~--------------------
DATE: J '3 AI n-1.U-/'~._!rU.A l C; "77
RECEIPT j: Q,q 9 q
RECEIVED BY: KIA)
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
D.
Branch Circuits
NetJ~ Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder"Permit
$ 35.00
$ ,"2,.00 '
~' '"
E. Hi~cellaneous'''{Service/(eeder :ri'ot 'rnci~d~d)
" . -... ._. .- . _.-.
-Each, installation: " .,', ,
Pu"mp Qr:. irriga tion"J<: - .."--.. S 40,:00
Sign/Ou tline J':'rgh t ing S 40.00
Limited Energy/Res L S 20.00 ---'<
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,;lD. t9 Q
I . 6-0
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