HomeMy WebLinkAboutPermit Electrical 1998-11-9
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'" '7:;:'" (r> '!>~'\:y<1 ELECTRICAL PERMIT APPLICATION
97477 "1q" '..!:~''- "%~~ 0'/ lAd
726-3769 <11~,~" '" 4?'>,:y~"t:Ob Number q It 0 ltI ~
3. COM~LETE FEE SCHEDULE BELOY
T/ENTJO .
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Calling thmay Obtai thro~9h OAR ~ Set fOrth
l1OOibe't9' ~ ffmtl1;. '~~gfifes~ S~'om. 00
Each i'4ldl'i1~61~b~€l: the tele ~u/es by
sq. renfRr ilP'P-'8bbBrVtitity Norf. one
thereof -332'2~cat$Jnl5. 00
Each Manuf'd Home. or .
Modular 'Dvelling
Service or Feeder
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
7t:,r:; N. A5T.
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JOB DESCRIPTION
1~__I~..'41.1::n~ r:-t"-"'iAl.1h (""_I~h~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~-
Address
City
Phone -'
Supervisor License Number ";Ir?Z'~S
Expiration Date /1) -/l/-rll
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
h/H/~D- ~/)f~/L
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Owners Name(J.>dhl'M/;;;r~.... I'd!')!. t; fITI', D6r
Address 2a? 5^^,U~
Ci tysA?,t.>':'I'I€<-^
Phone 77~'4-''J~
OYNER INSTALLATION
The installation is being made on
property I owp. vhich is not intended
for sale, le.ase or rent.
Ovners Signature:
DA~E~~----J-j;f~-/~-xr-----------------
RECEIPT *: I I. ,.U< IGf'tV
RECEIVED BY: -t-- y lr I ,f./i. .
Sum
.$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
C.
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 am~s. to 1000 amps $130.00
Over^~~_amps/volts $300.00
Rec~nel~'QQlY $ 40.00
HIS PER
TemP:9t'~"x. ~,(ff&6:{>1~t r:'i,r Feeders
Ins,taUaljf'?.Q@'U~D teta'€'iRt!l/f!'l;HReloca t i on
vUMMENcr-- ER THIS f E WORk
200J:a\'1ps;:orOl'lrs~ 48 PERMIT$S ~o... 00
201 amps-l,t6r~Q,QI')f\mldVuONI':{') F$ '5'Y.Too
Over 401 to 600'amps - ($'180.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00 """ .--
_l.>
Each Additional
Circuit or with Service ---
or Feeder Permit .., $ 2.00 Z
--"==-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
37-
;.85
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