HomeMy WebLinkAboutPermit Electrical 1998-1-27
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DEVELOPMENT SERVICES DEf1AR;IMF)lT 225 FIFTH STREET
ZonlnQ. \...f,L;V SPRINGFIELD. OR 97477
Date J ,/ [-1-=./ (541) 726-3753
~ ~ NOTICE:. FAX (541) 726-3689
225 FIFTH SnJEtpOrlZed Slgnature--DIvt,T~I~ P~.RMIT SHALL EXPi~~~LIT APPLICATION
SPRINGFIELD, OREGON 97477 - HORIZED UNDER THIS PERMIT IS NOT q a D oq I
INSPECTION REQUEST: 726-3769 AUT eity.--1Dbo~umber IS
OFFleE: 726-3759 COMMENCED OR IS ABANDUNCU F
1. LOCATION OF INSTALLATION '.A,NY 180 DAYPE~,LETE FEE SCHEDULE BELOV
-&.. ~f../ sG, CT:.f'tlA-{ o(L , A. New Residential-Single or
-~ 'Multi-Family per dwelling unit.
ICJfD~'-CI{j~N()2 q D 0 Service Included: Items eost
JOB DESCRIPTION tlA~-L-~
>,e.. tilV~ Q...~ U-f
Permits are non-transferable and. expire
if work is not started within 180 days
of issuance or if work is suspended for
_..-_, ,_, ...180 _.days . ' "- - ,-..' "
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
...$--40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical eontractork_r.lZled1',~ ~('l~ rMJtJl,:::{it.v or Relocation:
Address 0, 0.13 crJC f)J('133
ei ty Z:u~.{J "'- e Phone tf'b -0J. 3"
I
Supervisor License Number go -~~
Expiration Date /6 -~( -9~
eonstr eontr. Number /,>0 y~
Expiration Date /7 _ -a:] ~ 9P
.
Signature of Supervising Electrician
~~__ ,-~_/AL-
I, C/UAf-
Owners Name~D.-- B &o.r...J
Address_;J. Y5],... ('~A-( f)lL-
, -
ei ty S~"'/c;.&lO Phone "PL/7' J93tj
OVNER INSTALLATION
The installation is being made ~n
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----7-/J[~~l~1(~----------------
RECEIPT #: b..'2 'J,11J1"7, .
REeEIVED BY: )(. Ph.^U .
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
e. Temporary Services or Feeders
Installation, Alteration or Relocation'
200 amps or less $ 40.00
201 amps to 400 amps $ 55~00
Over 401 to 600 amps '$ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One eircuit -L $ 35.00 ~S.OO
Each Additional
eircuit or with Service 1.00
or Feeder Permit + $ 2.00
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/eomm $ 36.00
5. SUBTOTAL OF ABOVE <j.{) 0
5% State Surcharge H~
3% Administrative Fee 1: 1_
TOTAL :1,'-/ - C{U
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