HomeMy WebLinkAboutPermit Electrical 1998-5-7
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THIS PERMIT SHALL EXPIR
AUTHORIZED UNDER THIS PERMIT IS NOT
COMMENCED OR IS ABANDONED FOR
ANY 180 DAY ~(6a~!;~q. prolect as oubmllled "'the f, , ,
225 FIFTH STREET ',. ";.a; '., ",,)6s not require epecIlIo Iar!i:lI2BTR1CAL
SPRINGFIELD, OREGON 97477 \
INSPECTION REQUEST: 726-3769 Zoning c\..v
OFFICE: 726-3759 Dat."c)-7-'1~
PERMIT APPLICATION
City Job Number C,71 - 7~ 1
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3. COMPLETE FEE "SCHEDULE BELO\l
1. IAlCATION.Q.F I~STALLATI~SIgnaIure '(''IV') " " ~
, 4 SG k:. a., h hl"\~) "A. Ne\J KeSl<.loell Lldl-Single or
Multi-Family'per d\Jelling unit.
Service Included:
LEGAL DESCRIPTION
)"/ ()'3 d-i 42" O:1-'K621
,. ,
JOB DESCRIPTION / 1000 sq.ft. or less
NeD q(")() [fl fklJ."f> ferY1D Sevvlcc=Each additiona1500
I . sq. ft or portlon
Permits are non-transferable and expire thereof
if \Jork is not started \Jithin 180 days Each Manuf'd Home. or
of issuance or if \Jork is suspended for Modular "D\Jelling
180 days, Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor-BJ.ilderS Eledt-fC' IrP(. Relocation:
Address 1C15MQ(:J,'sr::n 200 amps or less
201 amps to 400 amps
Ci ty _M Mf'ne Phone 4~o:, Z'<- 401 amps to 600 amps
-J . .C' 601 amps to 1000 amps
Supel-visor Li cense Number -z::::rro - -::> Over 1000 amps/vol ts
Reconnect Only
Expiration Date IO'I-q~
Constr Contr, Number "20-'2.Q.
Expiration Date ID' 1-9 f)
It ems
Cost
Sum
$ 85,00
'65.00
-f=. -
$ 15,00 I~,
-
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
IU $ 40.00 ~
$ 55.00
$ 80,00
volts see "B" above
200 amps' 'or less
201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
~ Pf'~ ~ Over 600 amps or 1000
O\Jners Name 14 C\bl' f-C\ + fnx- )-t\)\'Y'q\1;h-t Branch Circui ts
,fl. / ,/ 'JNe\J, Alteration or Extension Per Panel
Address -p.O, f' JIJ4. If!, 'l.
, t, I
Ci ty ~Ii;..u Phone _4Jt 3A.2.::10CfJ
O\INER INSTALLATION
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
C.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
The installation is being made on
property I O\Jn \Jhich is not intended
for sale, lease or rent,
E.
Ovners Signature:
-------------------------,,------------
DATE: 5-7- "}'l; " _
RECEIPT #: ~q-r I ~
RECEIVED BY: K-w-
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
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