HomeMy WebLinkAboutPermit Electrical 1998-1-20
The following project 88 aubmltled hIlS the following
zoning, end do88 not require epecllle land uoe
epprovol.
Zonlna Co.-V
9~1J7ff~46
Authortzed Signature h nt
~3.
~ '%, ~ New Residential-Single or
(.6 "1, ~ ~\ Mul ti-Family per dwelling
~ \; ~ ~ .' Service Included:
/, ~_ ~ ~ Items
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JOB DES~PTION '..l.- ~.t- ~Q '% ~<%ooo sq. ft. or less
()()e ('JJ\('\ }I- I ~. ~ ~ ~ch additional 500
'il, U' A~' ft or portion
Permits are non-transferable and expir~ ~ ~ t~reof
if "ork is not started "ithin 180 days. ~~~~nUf'd Home. or
of issuance or if work is suspended for ~ d r Dwelling
180 days. ~ w ~ or Feeder
A'Wo.
2. CONTRACTOR INSTALLATION ONLY B. s~~~r Feeders
Insta11ation, Alterations
Electrical Contractor-13u...ildf0i: ElerjrfC /rfc. Relocation:
Address JQ5/-AaQ'SI::YI 200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATjON O~INSTALLATION
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LEGAL DESCRIPTION .
\/6 ~,:;t~ \ DbD 7...0'0
Phone 4'6S-CY Z'L
Number -c;::r;o-S
Expiration Date IO'I-q~
Constr Contr. Number 'LO-/2..C
Expiration Date!O'I'9f)
Ci ty FI. X':::t'n ~
Supervisor License
Signature of Supervising Electrician
(I~/f. e~
Owners Name IA r~ CY.u"e'j
Address '2.34S S'\Cld~
City ~\~.RP(' Phone \Yt.4G-031(O
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
I-~ -'1 Ii.
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Cfq, DOlo ~
COMPLETE FEE SCHEDULE BELOY
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see liB"
above
D.
8ranch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or ~ith Service
or Feeder Permit
$ 35.00 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
5% State Surcharge
3% Administrative Fee
TOTAL
3'5.00
1.7S
I. os
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