HomeMy WebLinkAboutPermit Electrical 1998-5-7
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22.5 U.&U, STREET Dele 5-7 -qj
SPRINGFIELD, OREGON ~~ . '" () Vv\
INSPECTION REQUEST: 726-3769
OFPICE: 726-37S9
ELECTRICAL PElUlIT AffLrCA~
~:,' Job Number; ~f\ \ \ ( J0
3. COMPLETE FEE SCIlEDULE BELOY
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~~~mPTIONOO1 ,[) I
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
JOB AlESCRIrr.JQ~. ...$lOO sq. ft. or less
<:.f-r J )"" I T'i ::i'l'::iTF. N11(\'SrCLllOJ\\bch additional 500
~ sq. ft or portion
Permits are non-transferable and expire thereof
if \lork is not started \lithin 180 daysA/. Ea"h l1anuf'd Home. or
of issuance or if work is suspended ~r'())> Hodular.D\lelling
180 days. JSzn ""..too Service or Feeder
. -1(/ ".0. ~~.
Z. CONTRACTOR INSTALLATION ONLY Ca ~a ~~I' Suvices or Feeders
AA, 1t;o4.IJ ~G .si!,stallation. Alterations
Electrical ContractorSecureCom, In..l';" ~tJ <='Ov.: -<>1<!elocation:
Address 1126 Gateway Loop. SUite 122, '600",. ~OO'" ~~ ~-ti;", or less
"A.... '7 <r2cr0~,!<O 400 amps
Ci ty Springfield Phone 988.3585 ...~(l 1(01 ' To'"~OO amps
q 6~~~. ~ ~O amps
Supervisor License Number 794JLE Over d"'~Bs~lts
Reconn >";OlM.$',,,""
Expiration Date 10101199 009 vI'
C. Temporary Services or Feeders
Installation, Alteration or; Relocation
Constr Contr. Numbe~3.353CLE
Expiration Date 10/01/98
200 amps' 'or less
201 ~ps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100v Vo~ts
Signature of Supervising Electrician
~.-.e.- --.-. -::--
...
Ovners Na..ee:,~() P~ILL..lPc:,
Address PO OO'f. \ 't <=1 -+
City-:R~\(\&Flf:LGone -
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
S 35.00
One Circuit
Eacl1 Additional
Circuit or \lith Servi"e
or Feeder Permit
01lNER INSTALLATION
The installation is being made on
property I o\ln vhich is not intended
for sale, lease or rent.
His"ellaneous (Servi"e/feeder
-Ea"h installation
pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/COmm
E.
Ovners Signature:
DA-rE;---------~-----5-.~ ~--
REGEl... .: , ^
RECEIVED BY:_ \.DO_ \
5. SUBTOTAL OF ABOVE
5X State Surcharge
3X Administrative Fee
TOTAL
Sum
S 85.00
$ 15.00
S 40.00
$ 50.00
$ 60.00
S100.00
$130.00
S300.00
S 1.0.00
S 40.00
$ 55.00
$ 80.00
see "B" above
$ 2.00
not included)
$ 40.00
S 40.00
$ 20.00
S 36.00
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