HomeMy WebLinkAboutPermit Electrical 1998-11-23 (2)
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATIJlN OF :ulSTALLATION j
C(;O !--II. Co) s, IT 91-
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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. CONTRACTOR INSTALLATION ONLY ,B.
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Electrical Contractor __"",,"I/outo
N'Olegon la'" .~~- gon Utili\)'
Address j(fiE-NiIO _'~^nl",d bY tne ?l~ ?'O "etforth ,
, 10110W I,UI"c~~tel"hose IU "O~R 952-001' .
City ~1^Hticatlon _, ':lO~tl<m;elUgh . It~ ...IAS bY
"n OAR 9b'~-v'" ~t?t!n copie5 VI ,- hOne
Supervi~'C90!--toa~Y R ~r.~ote: thete\~,t~Hnll
, c \Iing the cen 'Oil Uti\\t'f ,'tV.f..-
Expi ra t ion~,*lolthe 0~e~"n_"t32_2344).
II cente"" . -- C.
Constr Contr. Number
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Expiration Date
Signature of Supervising Electrician
Owners Name
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Address \I q '1 Cat 'rcIJ<'''AJ ~l ctr)J.), q
Gi ty ~-I' I^ -<- ;'0 I, Phone 7<{ S "'J.. Cj 4<7
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
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DATE~-----i;;~ii'fi---------------------
RECEI~l 11: 'h~1i12-4 '
RECEIVED BY: d tv"^""
ELECTRICAL PERMIT APPLICATION
City Job Number qfrOCfSr
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included,
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
Services or Feeders .' ,'''' )o.N'i
Installation, Alilie',ilat'i6n1sl, d
or Reloca t ion :u9'<f 51 \:10 03:JN31'l1'l0::J
\:IO:! 03NOONv n'<f
2QQ.i\~'V)l\v.~~\;\S. \:I30NrI Q3ZI\:lO~J50. 00
2~}I'a)llps to 4QP,,,aJllrlVHS.-ill'i\:l3'$ S6G~OO
4~C?\fIPi1H\ ';~~";fmps '9I'\HP<M00
601 amps to 1000 amps 'GJ"'$'t3tl:00
Over 1000 amps/volts $300.00
Reconnect'On1y $ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less I $ 40.00 'fo
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
D. Branch Circuits
.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder 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 tftJl-y
5% State Surcharge '1-iH
3% Administrative Fee ,,-,Lv
TOTAL tJ f. 2..u