HomeMy WebLinkAboutPermit Electrical 1998-3-23
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225 FIFTH STREET Authorized nalUre~. \ J? \,-a,.~R~AL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 C~. <oy-~\'\' ,\~9> ;~ 01'001)0 0
INSPECIION REQUEST: 726-3769 ...\O~~ 'f(..~'\ '0~~C(.~ ~~~\(;i ty Job Number - / 0 0
OFFICE: 726-3759 \"" S "?~ ~~ \9> ~ . ,
,\y-'\ D~1) ..J...O~C~LETE FEE SCHEDULE BELOY
-. ~ LOCATION OF INSTALLATION. ty..\~S~ rc..~\;~v "?C(.~
.!J 77.i- '-f;; r ~.;; r ~ rY1 < II, C, ~~~ ~# New Residential-Single or
-~.J.. ,~ Mul t i-Family per dwelling uni t.
~ PESCRJ;Jf.l',rk3~1 ~' Service Included:
/7o],<.2..Lf'Lt. _ (170..:5. Items Cost
approval.
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
, ~q. ft or ~6rtion
thereof
Each Manuf'd Home. or
Modular.'Dwelling'
Service or Feeder
J~ DESCRIPTION
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$ 15.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 4'0.00
.' 2.CONTRACIOR INSTALLATION ONLY .B. Services or Feeders
, . Installation, Alterations
:':-:-Eie~tdcal -Contractor .-J_ 'is. E/'-/-4r/C::t:VlC', or Relocation: '
. .
. ,- ,
Address 4ot;f? (...v_lffl-.. ~/)(- :
":City f"'r~_c ~VI_...e'.h ~ ~l}w~e. C ~7C;'770
"':':l!~.I.; -c .=. -_......,......./._,.,,:.._, -. <~-=--~. '. --- -
. Supervisor' Lic~~~-~ --Numb~~ 3' f(7j-5
Expiration Date ~~ ld~~~~l(
C.
Constr Con tr. Number ' /o'-{ q;;).. q
Expiration Date ~ Xo/ao
. ' ,
SignanUre 1/ supervisi~Elec t;ic~~... 0 $ '1
(}//tJ/O' ~ D.
Owners Name f () )( ~ '" VI ~ . )~/, "~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
_~"~~: 401 amps to. 600 amp~
---:~-601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps' 'o'I' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
volts
Branch Circuits
,.
New, Alteration or Extension Per Panel
</./7 v." I'
Address
I
$ 35.00 3;-
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
71/ /- D1-foQ
Phone
Ci ty <; n .-/' .
- I "
OYNER INSTALLATION
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
--
5;; -7~
I ...:- - '
/ J--
? 7 fjC-'
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
DATE~--~t2-?tly~~-~=-;-----
RECEIPrth 0. "L. / /6 (~
RECEIVED BY: ~. tfj1. vt.---: