HomeMy WebLinkAboutPermit Electrical 1997-9-24
.
SP.~FIELD
B. Services or Feeders
Installation, Alterations
[le<<Wfc. II1:0r 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
. -I.
~oning, and 'does' not require spociiic Ltnd u:o
approval. w-
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Data '4 -2li-C,1 '*'& &
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225 FIffl1l,oll~alu", 1'-'1\1\ ~~ ~~ ~
SPRINGFIELD, OREGON 97477 fi} ~ ~C)
INSPECTION REQUEST: 726-3769 R~ ~~ ~
OFFICE: 726-3759 ~ ~ ~C)
.;:y .c;: ~ 3.
1. LOCATION OF INST~~O~ ct~ ~4f' ~~
Cf.9J' n ( l(n t:- -,~ fJ~ 0<;)' . A.
- - ~~~O'~
LEGAL DESCRIPTI~,~~ ~ ~ 4;;
-D 0 :3 2... (" L./."L - "6'~i)J) .~ ~
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JOB DESCRIPTION
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor ftll'\rtf'Y".
Address 1'1 S "'-AO,\I"C'w'1
Ci ty SU(~FV1P Phone J.~S-()C1z2
Supervisor License Number -z..q~a-s
Expiration Date
IO-\-qp.,
Constr Contr. Number ZD-f2C
Expiration Date \l)-I-q1-
Signature of Supervising Electrician
~-~~
O~ners Name A ilehf U ill S
Address qq() 0 \l r(\u2+
City ?r'v:j=Y(Qd Phone
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
~-;ly:- 0,,7
~ 7..J q--~
<t4~
DATE:
RECEIPT j1:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
City Job Number ~ q 7/4/ 'iI
COMPLETE FEE SCHEDULE BELOV
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular .D~elling
Service or Feeder $ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.'
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00 ~-C1)
$ 2.00 2.Q..O
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
40.00
40.00
20.00
36.00
s.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
37,00
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