HomeMy WebLinkAboutPermit Electrical 1997-12-31
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SpAFIELD
,-o~:.,n.J_o.. V NOTICE:
, V, ~~..:....' THIS PERMIT SHALL EXPIRE IF THE WORK -
....,"o~J5 ~FJE'I~E1'(\('{\. AUTHORIZED UNDER THIS PERMIT IS N2kCTRICAl. PERMIT APPLICATION
SPRINGFIELD, OREGON 97.wMMENCED OR IS ABANDONED FOR 01' ':s/~5
INSPECTION REQUEST: 7~~7tfu90AY PERIOD Ci ty Job Number -t /' 7
OFFICE: 726-3759 . -
LOCATION OF INSTALl/}TION
SJ. )' ,po/i'v.Ld.
I
LEGAL DESCRIPTION J ,'\
1103 3Lf AS 0 (5Ou
1.
JOB ~SCRIl'TION
/1.e; ,) 1(1 \ ') f.Jd&v.. d "
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor&:J .0..,. e E,!p
Address_...? r; ~L..{j :::::;;.~e.y RJ ,
City(P.... Ph~ne &~A"/r~y
Supervisor License Number ..2 (JOC::.&'
Expiration Date //:)/9/3
Constr Contr. Number O?f,2 <;tog,S'
Expiration Date ~- / 9-9 g
Signature of Supervising Electrician
U)/.?.L//1fL ~ /2/~
I - I'
Owners Name A-. uneAc.~
Address<s~S79
City ~rtyCJ" :r" bPhone74/ ;;OI3?-
J-y.,l/<:::.
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
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DATE: I,t.. -<31' 77
RECEIPT ll:U~X:<'v"l
RECEIVED BY:~ey-'
3. COMPLETE FEE SCHEDULE BELO\1
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less I $ 85.00 ~
Each additional 500
sq. ft or portion
thereof ~ $ 15.00 ~
Each Manuf'd Home. or
Modular. 'Dwelling'
Service or Feeder $ 40.00
,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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D. Branch Circuits
,"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Serviceifeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5, SUBTOTAL OF ABOVE /?'tt:J. .,
5% State Surcharge {~ '~L>
3% Administrative Fee ~.W
TOTAL I '10 "'TO