HomeMy WebLinkAboutPermit Electrical 1998-8-26
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225 FIFTH STREET Authorized SIgnature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
I OFFICE: 726-3759
3.
I 1. LOCATION OF INSTALLA~I
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LEGAL DESCRIPTI~N/7 2S<jWl/f,oO
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City Job Number~
ELECTRICAL PERMIT APPLICATION
CUll Dl/J t
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling
Service Included:
It ems
1000 sq.ft. or less
Each additional 500
. sq. ft or portion
Permi ts are non-transferable and eN(j)if4CE: thereof
if work is not started within 180 ~AY& Each Manuf'd Home. or
of issuance or if work is suspended fb~ERMIT SHPll1bdi}(Rj/i!E~lfHJ:iwIDRK
! 180 days. AUTHORIZED UN()"Etff~fS'pgRMlfrg~OT
2. CONTRACTOR INSTALLATION ONLY COMMENC~ OfSb'r~fil8~fi)00E[)'f!~rs
ANY 180 DAY PEfliRJtl:alla tion, Al tera t ions
Electrical Contractor c..c..SGc<GteCo"''''''ur'liutliDy\or Relocation:
I 'ServlLes L,L.c:...
Address c,9,O -S.W. (,t\.... 5+.
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
City.G.c"'.!1ki+,~ Phone LflL1-YfoYh 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number ::J2..,,~-::TL EATTENTlc5t~:'(J, 1000 amps/volts $300.00
'Ol/ow rUle/aej.!ftfB@{J ta\Q~uir $ 40.00
Expiration Date /0- 1- qq Notificatio OPledbytheo eSYOUro
'n OAR ~~~.illfi'reirkDlle~l1lSiI@~g 4fiBt)Feeders
, Constr Contr. Number /29n J/ 0090. YoumO~h;Pt>aDJt~o'lAf[~flA~ or Relocation
calling th ay obtain Copies 952-001_
n, ''TIber f e CWOea~etl9.1h ~t\& rules bv $ 40.00
ortlooQ)r:;U~'i\l fl.sae~ $ 55.00
I Signature of Supervising Electrician Cent~iret. ~_ 3 ~~tY~ifioup~" $ 80.00
_ / . / /? A ./ Over b r 1000 vol ts see "B" above
7,w _.-/A. ..P 7?1~.......,.
; . . . D. Branch Circuits
Owners Name W;il'U(tlrA I r. .A ~.,k<:. .\.'Qf-L 1)i~+.
New, Alteration or Extension Per Panel
JOB DESCRIPTION
Expiration Date
2, - 0 - nO
Address 2.tY'l 5. 1-'.,.. \\ <;.-t.
Ci tySp,..1 '^~l.;dd
OVNER INSTALLATION
Phone 7!2 {-.,- 4 33- c...
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-------~~~~-t~!.r--~-------------
, RECEIPT 1I: '_'i >-.<: / -1/ ;--
RECEIVED BY: *" vlil/ /1
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm /
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
uni t.
Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
"
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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