HomeMy WebLinkAboutPermit Electrical 1998-1-8
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VIU"Y, ana aoes not requir'5l ... r . C I
approval. '"'1-'"",,,,.1 . .-
Zoning (riv
Dete /---X- --Cfi'
Authorized Slgneture I\YY)
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City Job Number "9'/~~9
3. COHPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION~..,:::;_
/~ ?.....~ ?~r'-L-/7
LEGAL DESCRIPTION
/)..,.,::r~-~-"3'o, p~~~
r
JOB DESCRIP}lON ~
-7~v'~~_ 4"f?.ff~/ /~~
'p~ ;L~~"":';';' ~-7t\~~"'/f7
Perm{t~ r~non-~and:rerable a6d expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor I~<T/ /~/"d",:,--
J->S
Address ~ CJ. UI7>l
Ci ty (/t'..,.~oIIu~ (/
Phone 'i'~:<' 22 t B
/8/-.5
/':;/;/'78
Constr Contr. Number .t 7.13/
6/Jf'.t1/? g
Supervisor License Number
Expiration Date
Expiration Date
Signature of Supe~vising Electrician
a ~.. UAdL_.,' ~
/' ~ "2?-= D.
Ovners Name I ,~ /. ;te-55/CLfo-
Address /s;r?> ..;;.~ '/77-9 ~ ~
City ~ ~_Phone-2?~~/
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovner~Signature:
-.
DATE:. J;:~~
RECEIPT jf:
RECEIVED BY: ~ ~
-- --- - - - ,.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Hanuf'd Home. or
Hodular'Dvelling'
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 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
.....-- $ 50. 00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
5"~ -"
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit L:
$ 35.00
$ 2.00 /2...
not included)
Hiscellaneous (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
40.00
40.00
20.00
36.00
$
$
$
$
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