HomeMy WebLinkAboutPermit Electrical 1997-3-20
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225 FIFTH STREET zor:ing__~ilt2
SPRINGFIELD, OREGON 9774267_736'6'.9- 3~l.o -W:1
INSPECTION REQUEST: f [.
OFFICE: 726-3759 AuiliorilOO S!onatlli~ l\J~
- ---3:-- COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
S-2n 63cJI oVL)/~
LEGAL DESCRIPTION
/7 D ~ 2..C::; 3 <I f)/fi;o-D
JOB DESCRIPTION
FrAs3 ~~~ ~~ (,
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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 ONLYB.
Electrical Contractor ~~~ ,~~~
,
Address .10/'9 7~ LJ~ L~.A/e.
City EU9p-He Phone bR~...tJq()5
Supervisor License Number ~~~~~
Expiration Date /6// / qK7
/ #
Constr Contr. Number~~~_~~
Expiration Date 9'/30 /qp
"' /
Signature of Supervising Electrician
~~
Owners ~ame ~'r r()1'i\ ~ttf
Mdress L{~"? ~hWV\ e.rJ /
City 5rj\Yvl1~AG\-PhoneCbq~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT *:
RECEIVED BY:
?/2CJ/Y 7
( z{d'7~ )
~~~,
ELECTRICAL PERMIT APPLIC~TION
City Job Number
/7V/f62-
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Items ~ost
Sum
$ 35.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
St;e "B" above
New, Alteration or Extension Ier Panel
One Circui t V-- $ 35.00 __<:S-:~
Each Additional
Circuit or with Service
or Feeder Permi t ---3- $ 2.00 to ,60
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
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4/6-0
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