HomeMy WebLinkAboutPermit Electrical 1996-12-31
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The fOIl~wing i . . .
zoning and d P oJoct as submitted h'."" . "
ar)prov'd., ,Oes not require sp,",^/'t. G"',. the fOllowing
r c, , . ~.... lie and Use
. . ' " Zoning_[;Df2.-.
9i47~,.~te~~U~,
7 2 r~3'J.:~9z:d'Sigi1atllre-rJ-JV\
3. COMPLE1]::; .nE SCHEDULE BELOll
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.' LOC~. '.1R N O.F INSTALLA. . Th9N.. ",/, ~
. 'ffi f1.I.IiJwJ'f-' ~.' Lo/l / L) 57
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Y::GAL DESQ3JPTION . '.
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JOB DESCRIPTION
/ti $' F.K-
Permits are non-transferable and expire
if work is not. started within,180 days
of issuance or if wotk is suspended. for
180 days.
. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor A1~~l~ ~~~~
Address', .j.2 ~ 0J .3....s22.:.;>,r/
Ci ty h~))J24'S "Phone ~J '7 i- -: li3 i
Supervisor License Numb~r /G>~~ ~
Expiration Date
)6 -; "" 7,)
Constr Contr. N':lmber " G$'/"IS-
Expiration Date: , 7'....c ij -9''''-
Signature of Supervising Electrician
d~/-~--g-<>---~ D.
Owners Name JI~/>~A...J F...vt; /<T-AYc:""
1'"'71 :s, ':j ;r~ s;-.,L.,
Ci ty . ~i'';? ;::::'l-:g) , Phone'J 1--) J.I. ~6? ~
OVNER INSTALLATION
Address
.'
T~e installation is being m~de'~n
property I own which is not int€nded
for sale, lease or rent.
Ovners Signature:
------. ----------.. -':"--1\--1'--1" -~~-~---,-c---~
DATE:', .,: \~ l kJ, nr[
'RECEIPT #: .,~) .'. '. ~\q-)
RECEIVED BY: )" . , -
, .
. .
ELECTRICAL PERMIT APPLICATION
City Job Number
C{t;J~Io~'
A.
New Residential-Sin~le or
Multi-Family per dw~lling unit.
Servic'e Included:
'. I terns Cos t
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof ~,
Each Manuf'd'Home, or
Modula~Dwelling'
Service or Feeder
$,85.00 _~6.bD
$ 15.00 3~.4D
$ 40.00
B.
S~rvices or Feeders
Installation, Alte.rations
or Relocation:
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
C~ Temporary S~rvices or Feeders
-Installation, Alteration or Relocation
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to '600 amps $ 80.00
bver 600 amps or 1000 volts see "B" above
Branch Circuits
,.
New, 'Alteration or Extension Per Panel
One Circuit
Each Additional
Cir'~uit or with Service
or Feeder P~imii
$ 35.00
$
2:00
E. Miscellan'eous (Service/feeder not included)
'-Ea~h installation .
Pump Qr irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limhed Energy/Comm ' $ 36.00
5. SUBTOTAL OF ABpVE II?: ItJ _
5% S ta te Sur<;:harge ~. '75
3% Administra ti ve Fee ~.I./S
TOTAL J~tf.Ao