HomeMy WebLinkAboutPermit Electrical 1997-3-28 (2)
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The> fr,I!"l\'vina project as submrtted has tho foll",w;; 1
l.' 'v. ~s 1 lot require specific lend u~o
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726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
l,., LOCATION OF INSTALLATION
~P\\ (')o.0k.. -1?~ iJ ",A" ST
1.10~SE:T~44aJ
JOB DESCRIPTION
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Permits are non-transferabie and expire-
if work is not startea within' 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor F-STj:). IiJc..
Address \2.\0 OAK.P/nc.+1 QD
City tJJo.ef1e. Phone 49.6.5'5'-1("
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Supervisor License Number Ljy 5 ::)1'"
Expiration Date 1()-1-C,7
J C.
Constr Contr. Numbel' rllZBl. 2o'25SCL-s'
Expiration Date 2.-~..q'6
,
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Signature of Supervising Electrician
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Ownel's Name ke\A lOt:.n K.
j
Address 12-11 St-J Fl'Hh
City(.brf-Iuncl Phone ")lJO-7~'i'.8
OVNER INSTALLATION
"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------~~1-<i~~'T--------------
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RECEIPT 1\: - rr~~, J
RECEIVED BY: J.- ~\(\~
- ,
ELECTRICAL PERMIT APPtM-O~
\a ty Job Number ct\. '"\
3.
'.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dwelling
. Service or Feeder $ 40.00
..
B.
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
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
,
D.
Branch. Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
"
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t include'd)
. !.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
37. Administrative Fee
TOTAL
$
$
$
$ 36.00
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( :~tA
4 .':J...liJ.L
40.00
40.00
20.00
4-1 )