HomeMy WebLinkAboutPermit Electrical 1997-6-24
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SPRINGFIELD
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225 FIFTH STREET O.,;e(,- 7 LJ-.L;1
SPRINGFIELD, OREGON 97477 .~--tt--
INSPECTION REQUEST: 1UU:a'169 Signature
OFPICE: 726-3759
J.. LOCA'UQli OF IN~LAAI~ 0. ~1<l.
1'-\"1 (\ IVF<:....i . ,,*,f'l..Ul.Ir\ {1. \J
LECI).L~SCRIPT:j:ON
I 70.t. f:>~0tJV 3"01
JOB DE~..urON
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorSecureCom,lnc
Address 1126 Gateway Loop, Suite 122,
Ci ty Sprin9field
Phone 988-3585
Supervisor License Number 794JLE
Expiration Date 10101/99
City Job NUIIlber
ELECTRICAL PERKIT Al'PLICATION
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3.
COMPLETE FEE SCBEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps Or 1000
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional,SOO
sq. ft or portion
thereof $ 15.00
Each l1anuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
~. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 a~ps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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Constr COntr. Number3.353CLE
---~C~TempQ~arY-S~rvices-or-F~ed~rs-----~
Installation, Alteration or Relocation
~-::?--- ~ ---,-
D. Branch Circuits
Owners NamebS~t:;Pt(\ P\S<.:f:,rf"i6l.. 'i ~ GOO
'\ ..,r_ t!:... ....,.---Io-~ ..,. Nell, Alteration
Address L- I ~ J J I U- . c;:: \ .
City~Pt-LO
Expiration Date 10101/97
Signature of Supervising Electrician
Phone
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OVNER INSTALLATION
The installation is being made on
property I own-which is not intended
tor sale, lease or rent.
Ovners Signature:
DA-rE~----:G]j 4 f
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RllCEIVED B: \1.1 ,;
vo.Lts
S 40.00
$ 55.00
$ 80.00
see "Bt! above
or Extension Per Panel
One c:ircui t
Each Additional
Circuit or lIith Service
or Feeder Permit
$ 35.00
S
2.00
E. l1iscellaneou$ (Service/feeder.not included)
-Each installation
Pump Or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Linlited Energy/COmm S 36.00 ~uO
5. SUBTOTAL OF ABOVE
5% State Surcharge
3X Administrative Fee
TOTAL
'bLo . CO
I - 9,0
I. p.~
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