HomeMy WebLinkAboutPermit Electrical 1998-4-28
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The fOl/owingproJect as '^
2.on/flQ, and doeenot ri:v..~ haSttw#olJQwing
approval. ""'fWlU:l8peOlfto land UllO'
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Dated.--1,l</q ~
9~~~~ure J1m
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. L~CATION OF INSTALLAT)\ON
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13~OB )ESCRIPTf:ON, "
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Permits are non-transferable and expire
if work is not started within 180 days
of' issuance or if work is s~spended for
180, days,
ELECTRICAL PERMIT ~PLICATION
City.Job Number l\~ ~
,
3. COMPLETE FEE SCHEDULE BELO~
A.
New Residential-Single or
Multi-Family per dwelling unit.
S~rvice Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Fee.qer......__,
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
". Installation, Alterations'
Elec trical Contrac tot _"'R- tiJdf.r:\ Elertrl'C 'nOt. Reloca t ion:
Address A5Mad,:strl
4~CH Z'L
C110 -s
Expiration Date IO""'-9?:>A# _
~~'^~ C. Temporary Services or Feeders
Constr Contr, N~mber ?O--m .1J.~\'c;;: Installation, Alteration or Relocation
Expiration Date ID "/--9 p(J.U'HO;;:~rsHALL~JrJ200 amps"oT less' $ 40.00
, , ~DA1M '. U UND P/~~f. amps to 400 amps $ 55.00
Signature of s"upe7El!rVising t~o I2R'H/SQvfr r~~.~1,,'A~.. ~OO amps $ 80.00
/1 /J fl .; 1800/i'y 'II ISA8-4 (ffllM/~26r~s. or 1000 volts see "B" above
~ 11 PERla IVDON~ S NO,
I '0, D. BrairlAvij:ircui ts
Owners Name ~ (\\)<;),J '[) 0\010 ho 'f
.. '., ;" .
Address lot- [D e'St (~ ~{
City_~ld . phone12(j - 2~)
City~-en~ Phone
Supervisor License Number
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
. for sale, le~se or rent.
Owners Signature:
~~~~::-:~---~-----zt~~.~~-~---
RECEIVED BY' ~\~?l::;
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
so.co
,.
New; Altera t ion,; or<'Extension Per Panel
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limite~ Energy/Comm
One Circuit
Each Additional
Circuit or with ServiC}1
or Feeder'Permit .~
E.
5..SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
4,00
2.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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