HomeMy WebLinkAboutPermit Electrical 1997-7-23
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225 FIFTH STREET zOning, and docs not roq~i~,{#~ lone co_ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974'1tlproval.
INSPECTION REQUEST: 726-376~oning W-1f
OFFICE: 726-3759
57d..C:; D;]~';"?- t-J 3. COMPLETE FEE SCHEDULE BELO\I
1. LOCATION OF INSTALJ.AI'!QN I () M
~ c..1f~ 'i2.A ~ ~~fZed Slgnaturo~:c_' r.::H4en tial-Single or
Multi-Family per dyellirig unit.
LEGAL DESCRIPTION Service Included:
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JOB DESCRIP1{I\ON / fA
---50M"U' _ +- +Uchf _ WI r II'--
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Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor D.J-.;~DJ
Address '~'lY:-, (hr;d7)',J f rf
Ci ty.0A'r l\~l1 Phone "x0)- ,.(je././D
Supet'visor License Number 3191'-1-5
Expiration Date 1c>'-/,-'7'7<
Constr Contr. Number !obf11i.J
Expira tion Da te <;'"" 12-3/9 !?
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~e of u~ervising Electrician
";:eU:8'PJut1 2;~jfj D.
Address 374 jiJtxd Ia~ 1JnVrz.-,
Ci ty(~!!0toI. Phone 7'16-,&) 7R I
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O\INER ALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Owners Signature:
----------77---a-----------------------
DATE: 7-,/-'3-17
RECEIPT 11: 2tO~/1
RECEIVED BY: !/t./
City Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dyelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
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
qj ('J7/s
Items
Sum
Cost
$ 85.00
$ 15.00
2
$ 40.00
00. (J1)
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Ney, 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 yith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
80. ()[)
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