HomeMy WebLinkAboutPermit Electrical 1997-3-25
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225FIFTfI.. STREET -. [)i",t,,-_3::1:..~tJ1 ~ .." ELECTRICAL~PElliiIT . APKLICATION" -
SPRINGFIELD. OREGON 974].7Jih(~rk,::.<:y,j Sigj'atur -1J lIA Q'5/8:3/
INSPECTION REQUEST: 126-3769 ' , <3_., -L::..I~ob Number
O~PICE: 726-3759
3. COMPLETE FEE SCHEDULE BELO~
"1.
LOCATION OF INSTALLATION
~1 06"PH~_A.c::....A.tVT
LeGAL DES~P1~N
170~2.1r)()O;( to I
Blvd. A.
JOB DESCRIPTION
5fR.IJJ&F,'C-L..D 'FIR€- "5TAT/D~~S
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance o~ if wo~k is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor SecureCom, Inc
Address 1126 Gateway Loop, Suite 122,
Ci ty Springfield
Phone 988-3585
Supervisor License Number 794JLE
Expiration Date 10/01/99
Coost/: Contr. Number3-353CLE
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modolar'Dvelling
Service or Feeder $ 40.00
~. Services or Feeders
!nstallation, 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 -
Re~onne~t Only
Sum
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 10101/97
Signature.of Supervising Electrician
~~~
Owners Name Ciht ofspo ~
Address 225 6.f4tt . ~
Ci ty Sp-n~~oAd Phone~-J.lJlJ,a
OYNER fJTALLATION
200 amps.'or less
201 amps to 400 amps
Over 401 to 600.amps
Over 600 amps or 1000 valis
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
S 35.00
One Cil:'cuic
Each Additional
Circuit Ol:' vith Service
01:" Feeder Permit
S 40.00
$ 55.00
$ 80.00
see "Bu above
~,.,
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting S 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm S 36.00 3~. 0(:)
The installation is being mad~ on
property I ovn vhich is not intended
for sale, lease Or rent.
Owners Signature:
DATE:,__ 3 -Jf' -t17 .
RECElr',1. if: ' '7Sil38'"
RECEIVED BY: 14? _ -
,-
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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