HomeMy WebLinkAboutPermit Electrical 1997-8-6
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:'e~ (, -=$t. -,- ELECTRICAL PERMIT~PLICATI(N
9/~~~~ " '
726-3769 ~--.c.-S:.i ty Job Number, ~ \\q
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:'
OFFICE: 726-3759
1., ~OCATION/,OF INSTALLAT~ONv1J /
j",/.. 5 8' Lt-rrh/YJ n fa [ n FJ/~A
Constr Contr. Number ~lO~5
Expiration Date \0' \0 .C\ 1
Signature of Supervislng Electrician
~ /.//71- ./2,.
~ /aL/)~__/~' ' ,
~er5 N~~~it'\\~CL \h~~
Address \~:) ~ ~\m'i\\CA~ ;
Ci tY~~).lK\CO~~Phone
~-~~~~~LATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~A~~~~-~~--~~-----~--~.~J:f1)--~-
RECEIPT #: '~, - - .~\ffT'),
RECEIVED BY: ~..J- \\JJtA.. Jr1' ,'"
3. COMPLETE FEE SCHEDULE BELO~
. . ;
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
C.
Items
Cost
Sum
\,,~AIv\mT\\~ '
JC'1\ t .. - ~O~~
'( \ ~-rOB AJESCRpfl~Of\, I\A k 1000 s...CCf~~%k~~s
\...X\\\9_\L- '\"}'.J\).~~U ~. ~p.~~~~L~~~~ 500
...\f\-(\C~,' ~~t>-\lt([. '\\'0 ~~lif)~~n
Permits are non-transferable and ~lr~~~~ ~~t1?~~O~~
if work is not started within 180 ~a..~ ~~~'Ea~~ufld Home or
of issuance or if work is suspend~~'"~~\"V ~~o~Eular Dwelling
180 days. ~ '''~~Y;~C ~\jce or Feeder
Co\~\ ~I\'t '
2. CONTRACTOR INSTALLATION \LY t:.~'t '\~~. Services or Feeders
~~V ~~\(~\lC^^ Installation, Alterations
:::::::ca~ \\~trab~~? n~t~ \ UJ \ ::0 R:~::a ::0::55 .
~ r'\{ rtt', :'/1-1 1 '\~v 201 amps to 400 amps
City ~~~~, Phone' ~'" !JO ~' 401 ~mps to 600 amps
\ \ ,- 601 amps to 1000 amps
Supervisor License Number 3l3~ Over 1000 amps/volts
, n o Reconnec t Only
Expiration Date \r\\"'-\C)
$ 85.00
$ 15.00
$ 40. 00 .
$ 50. 00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Fe,eders
~nstallation, Alteration or Relocation
200 amp~'oT less
201 ~mps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits,
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Aiteration or Extension Per Panel
,.
One Circui t
Each Additional
Circuit or with Service/?
or Feeder Permit ~
E.
$ 35.00 ,::SS-
$ 2.00 L(,
not included)
Miscellaneous (Service/feeder
-Each installation '
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res'
Limited Energy/Comm
s.
SUBTOTAL OF ABOVE
5% State' Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
,:?CJ,1f!)
,L!l.~ '
I, /7
'-12,11
40.00
40.00
20.00
36.00