HomeMy WebLinkAboutPermit Electrical 1997-3-5
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225 FIFtB STREET /
SI'RINGFIElD, OREGON 97477 Zon;ng_~~
INSI'ECTION REQUEST: 726~376&J)-- q7 -
OFFICE: 726-3759 '
Authorized Signcturo~ 3. COHPLETE FEE SCHEDULE IlELOV
1.,~CATION_OF I!!s,T",.I.AlION
, .' 7,"1tl ~ A.
l~m~EM~#r!o~Eh1otioP&O
r~O?
JOB DESCRIF'l'ION .
-:fAlSTA-li.--f-&m lOR /JKJ/-.iJt5/fJ//(!g-;
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Permits are non-transf~rable and expire
if york i$ not started'yithin 180 days
of issuance or if.york i$ suspe~ed for
180 days.
1000 ~Ct..1.t-,-or .less
--:----Each addi Honal 500
sq. ft or portion
thereof
Each Hanuf'd'Home or
Hodular Dvellin~
Service or Feeder
2. CONTRAcrOR INSTALLATION ONLY B.
Electrical Contraetor L ,/1. ~1(1f;j;/Iffl, Z(Jc. .
Address68 (,{)lFST 't) h ~hee..(:'; {
cityS/41.iJ. \ Phone 7'f7.(pC>3'8.
Super,visor License Number Ilf 735
loll/in
Expiration Date
.
Cons t r Con u'. Number D3C:iQCj
/;J,It~/q7
Expiration Date
I
Si~at~e of Supervising ~lectrieian
.~ / A'~
./ .
Ollners NamekRE/fN /hser714 tJFeoiJ
J
Address ;'75 StJ, 7DM
C1ty~. Phone 345.t.fICfJ
OtINER INSTALLATION Ib/Vl PhiLip
The installation is being made on
property I ovn vhich i$ not intended
for sale, lease or rent.
.
Ovners Signatures
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RECEIVED BY: , ~_
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ELECTRICAL PERHIT APPLICATIO~
City Job Nwaber q ( n I ((J I ~
Nev Residential-Single or
Multi-Fa~ily per dvelling unit.
Service Includedl
Serviees 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
Items
Cost
Sum
_$ 85.00
$ 15.00
$ 40.00
I
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
-
C. Temporary Serviees or Feeders
Installation, Alteration or Relocation
200 amps or less I $ 40.00 ~ tJO
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100v VO.l.ts see "B" above
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Perllit
. S 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not Ineluded)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin, $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comlll S- 36.00-
: 1o,tJO -
cf. {YJ
(.-:;In
4~-Jf)
.......... ";'. --, . - , .
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL