HomeMy WebLinkAboutPermit Electrical 1998-1-15 (2)
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The following project 88 otibmllled has the follow
zoning, and doea not require Ilp8CIf\c land use
approval. I! V
Zoning \..-
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97471 '
72~~l\l!)d Slgn8lure n M
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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~I\~AL ~_~fl~ If\03?.2.'20 CY2\R:f\
C;; JOB DESCRIPTION ~, '
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
The installation is being made on
property I ovn vhich is not intended
for sale, lease or ren t.
Ovners Signature:
~~iE~------------~-\-~~~-:;-----
RECEIPT n: \~ ~~ D
RECEIVED BY: \-,...\J\llo....., \.~~
ELECTRICAL PERMIT t{PLi\9HIONI
-, '~,' Job Number "i. ~ll ) \ 0 \
3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sQ.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
~ Modular 'Dvelling
~ ~Service or Feeder
-r" ~ 1't
'Q ~.~:,~vices or Feeders
~ ~ ~ ~n'stallation, Alterations
Electrical ContractorO\\pn~\( ~ ~ ~ ~ Relocation:
(\, "" r -', . <:> ~ 0& ~
Address ",Tl7.D..i:;\1 ) 1-<:fl)'V\~t\ .\ "Y,I- OQ !(f<,,;mps or less
\1 .f) ,rL... r. oR--:. ,Q..'7.co 'ls ~ ~ ~ps to 400 amps
Ci tY'ffl1 \~ ,\-/\V \ Phone -\o1r ^ ,{)'E:,~'3 ~ ~4 ~ a~s to. 600 amps
V ~~nift-o to 1000 amps
)\Supervisor License Number ~I SL8 . ~r~OOOa~mps/volts
~ ~^q Re~n~c~nly $ 40.00
~Expiration Date ro \() "1 ~ ~ ~
, C C. Temp~l~ S~vices or Feeders
Constr Contr. Number l.\lL3 D Insta~~n'tAlteration or Relocation
Expiration Date 1..\ \~ 200 amps' 'or less $ 40.00
\ 201 amps to 400 amps $ 55.00
Signat~9€ of~~trician Over 401 to 600 amps $ 80.00
cI--:.-~ft ~ Over 600 amps or 1000 volts see "B" above
. L f' ...(} D. Branch Circui ts
ov:ers Name ~t::v\t' 't\t '[\\L--
Addre s l ~ -f(L
,\ Phone
Items
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
· $300.00
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
no t included)
$ 40.00
$ 40.00
$ 20.00 <f)...
$ 36.00 c-1{\
flio {i;2/
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