HomeMy WebLinkAboutPermit Electrical 1998-3-20
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225 FIFTH STREET Date~.:s-.?D-Y"Y
SPRINGFIELD, OREGON 97477" Authorlzed~...o~
INSPECTION REQUEST: 726-3769 . ,
OFFICE: 726-3759 .
;o~~\og ~()IN~n't^TION
\1O~~~PTo~<<) (
\. JOBfPESGRJ~ION \n ~
~h ~..Q J)\0J!~f\1)L .\J\ ~ )\ _ Q
perm\1s are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days. .
1.
ELECTRICAL PERMIT APPUCATION
r; ~LJ ob Nu.mber Q xn 1101
, . - I
3. COMPLETE FEE SCHEDULE BELOV
. A.
Nev Residential-Single or
Multi-Family per dvellingunit.
Service Included:
Items Cost Sum
1000 sQ. ft. or less I $ 85.00 ..m
Each additional 500
SQ. ft or portion [) :i()
thereof $ 15.00
Each Manuf'd Home. or
Modular.'Dvelling'
Service or Feeder $ 40. 00 ,
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders .'
n . \ C\ --L._ Installation, Alterations'
Electrical contractor't'V\L\ApsC. Q.~\Y'tc or Relocation:
Address lJ.C1C6 Wkl ))rlv.e..... , 200 amps or less $ 50.00
~ ~-I"'1 I: 201 amps to 400 amps $ 60.00
Ci ty bA.A.Q.(\.Q..J Phone &8 ~ct.Q 401 ,am'p"~E ~~O amps $100.00 .
U . . _~M v' . \:E.~lEMbip15 to'" J..Q.OO amps $130.00
Supervisor License Numb~r ~\\ t=t=\M\i S\-\I\L __ Qv;e'P~1{)\s..~~/volts. $300.00
, . I I. - EO UNOER ~20nnec..1:<9RlY $ 40.00 .
r;xpiration Date '10/fJ!/98 AUTHOR\! . ~\sti.);.\NOONE.U
, I .j/lc:f:PI:MENC'C.O Oc. .,Temporary Services or Feeders '
Constr Contr. Number~-~ Ar6'\&aO~'(PEf\\Ou:Installation, Alteration or Relocation
Expiration Date /O/()//qp., 200 ampsoAor less $ 40.00
, 201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps orlOOO volts see "B" above
Signatur~of su~~rvising Electrician
Ovners N::(;(;::pi;;
Address J <rIffi (.~(\ij~~~ '.
City 0JG{fflL ph~n~l~;~ 4:~1
OYNER ~STALLATION
The installation is being made' on
property I ovn vhich is not intended
for sale, lease or rent.'
Ovner~~Signature:
-.
.~ ___J.
DATE~-----------~--n--CJ(j() ~ _
:g~i~D #~y: \1\ lJ..\(1 ; -q {(O I
D.
Branch Circui ts .
,.
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circui t or wi th Service.
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation.
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
S 20.00
S 36.00.
. 115.00
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