HomeMy WebLinkAboutPermit Electrical 1997-9-10
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;I- q 705 ~ PERMIT SHALL EXPIRE IF THE WORK
AUTHORIZED UNDER THIS PERMIT IS NOT
225 FIFTH STREET . COMMENCED OR IS ABANDONED FOR ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97tNty 180 DAY PERIOD. q . ~ 7 I
INSPECTION REQUEST: 726-3769 .. Ci ty Job Number I ():::,. -:/-c
OFFICE: 726 3759 T',o 'a'iawing crojoct as submiUod h~s .he lollo""\~
- , - " d d' tire &l"Iecilic land uoe
z.:"'''g, an 005 no roqu 3. COMPLETE FEE SCHEDULE BELO\l
1. LOCATIOlj OF INSlIIALLATIONI. "..........1'1 ,
-L.i.2. )( :2?~ 4r~~/(-~__New Residential-Single or
, f - Multi-Family per dwelling uni t.
/ryGtft~~m?j-:<, rz.G.CdstonEdUre ~.WI, Ij~vice Included: Items
.Ci/,? -
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (5;/-'1 VleuJ ;:tc..ck
7/5;'
Phone ,(,,f;? -( 2:7 <:..->
2/9q..s
Expiration Date /tJ -1- 9~
Address ,/11,? - ..5
Ci ty 5PyJ
Supervisor License Number
Cost
Sum
~.<) .00
':!:f) : (j)
1000 sq, it, or less -.L $ 85,00
Each additional 500
sq, it or portion 2...
thereof $ 15.90
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder $ 40,00
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 50.00
$ 60,00
$100,00
$130,00
$300,00
$ 40.00
Constr Contr. Number rl 11 ?L ,,-/8
C. Temporary Services or Feeders
Installation, Alteration or Relocation
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
---------~---t------------------------
DATE: 1110'9.'7-
RECEIPT 11': U L '~
RECEIVED BY, X' m
.B.
Services or Feeders
Installation, Alterations
or Relocation:
Expiration Date
2-1.3.9~
Signature of Supervisin~.Electrician
~
Owners 0.. "\ Ph ill i 0' D.
Address Z q I ~ ,- IICirtl ILti '
Ci ty [U(JAN--- Phone 3,LjC;: -LflqC(
O\INER ~NSTALLATION
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
$ 40.00
$ 55,00
$ 80,00
see "Bll aboVe
"
New, Alteration or Extension Per Panel'
$ 35.00
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 2.00
no t included)
Miscellaneous (Service/feeder
-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
$
$
$
$
)/~.OO
40,00
40,00
20,00
36,00
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