HomeMy WebLinkAboutPermit Electrical 1998-10-8
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: '726-3759
"
1. \~~LQN (f{\~ffi\~~tei~t,
LEGAL rp;:SWATIONOA'~'
\ <\ \) 1-):)~ L ~ -"(0JJ
\ .
~ ('l\~DEmrnt- &t\1 \,. .
Permi t~ are\non-transferablea~\ expire
if work is not started within 1~ days
of issuance or if work is suspended for
180 days. M . //
~~ CONTRA~~~LATION ONLY /<
~ PEFlM/r " .
Elec tr,i cal ~'tI*Yft/2,torSHALL ~ ~
"'" O(JMIvt:- . eO UND - IffE IF 7i
Address ~:l , :~NCf!!O-er :/1, rH/~ HE WORK
. ~ 7 fit) .flA y n fa A8AN.'D IVllr IS /Vio
~i ty . ,F \ "'. Pr:?1Yt.fJ.Jle ONL:lh._ ~ r
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Supervisor License Number - .
Expiration Date..\
" \
Cons tr Con tr.';" 'Nu~ber \
Expira ti9r1"/~Clte \
Sign' at{;~ of supervising' E~ctrician
/ ' . '. "" '
/ . "'\
Owner~ Name \n\ ~)\S .
Address ~~ ~~. ()JW~
Ci ty r \JruJ\ L Phone VV\4. ~\ lo \
OVNER I~STALLATION'
The installation is being made on
property I own which is not intended
for sal~, lease or rent.
uptgntr. ~.
---~------- ~-f------~-----
DATE: I 'I.~/7k . .
RECEIPT #: '< '~Jb f{J r"
RECEIVED.. BY: -. l1/7AJ/jV
l
ELECTRICAL PERMt~ APPLICATION
,(;1ty.Cj6b~ Number \~\ QJJJ"
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
B.
1000 sq.ft. or less $ 85.00
Each additional 500
sq. A or portion .
th.,g'tdt:NliON. ' '. $ 15.00
EClf9~:PJ11tdie9J' H~~l .
~ ~lClftti&?~ !~~d aw reqlJili
e~9~9S2>-oo~~dEf1h~~ the Oreg~~~~ .t<6>O .
. You rn -0010 th C:I rUles at, tilJty
Srl~l!~hB~Y~ijlfrrO~9h OAR e Set fOrth
InY~'IOn 8~Qt~l(;~/Plllf~)([jf1h 952.001.
or Relf!Je~l'i.@1Orego Ote: the tel e rllleS-by
, er is 1-80 n Utility No ~~hone
200 amps or lessO-332-2.~AA\tlfICci1iofP.00
201 amps to 400 amps ~ $ 60.00'
401 amps t9. 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
c.
Temporary S~rvices or Feeders
Installation, Alteration or Relocation
~,ll
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
L $ 40.00
. $ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
"
New, Alteration pr Extension P~r Panel
One Circuit
Each Additional
Circuit or with Service
qr Feeder Permit
$ 35.00
$ 2.00'
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
- $ (j50
a' '_A.
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. .
. I )
, <:;
SUBTOTAL OF ABOVE
5% State Surcharg~
3% Administrative Fee
TOTAL