HomeMy WebLinkAboutPermit Electrical 1998-2-5
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225 FIITH STREET ~O \ro~~<(..~~~~~~~aq'~i~mitt~~il.4t,Lro.~PERKIT APPLICATION
SPRINGFIELD, OREGON 9747<i.~ O~~_~ 'l.Ov' "pocm" ,;h'" -,~
INSPECTION REQUEST: 726-~~ ~~~""'~r~ c u' Ci ty Job Number q 7/ (oql..-
OFFICE: 726-3759 O~ f:l'V~~ng
" ~ ) _ ~ '0-03, COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION~ Authorlz .
1,:}./1/, ~/f'PhI/ Lo odSlgnatul'i',J:l..M., ll",~irlpntial-Single or
i . . Mul ti-Family per dwelling uni t,
Service Included:
r70 ~EleIfT30 2000
Sum
Cost
Items
$ 85,00
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
IJ O'gmdo ~<)f>('I/ r,'fv
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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.
$ 15,00
$ 40.00
2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i t rol Secur i ty or Relocation:
$ 50.00
$ 60.00
$100,00
$130.00,
$300.00
$ 40.00
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
Address P',Q, ElOx 21009
Phone 461 - 5678
Ci ty Eu uene
Supervisor License Number 1&89 REI
Expiration Date ~ II) -/- qq
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
6-28-00
Expiration Date
- ,
~4'A::
D.
Owners Name ffj('(,.ahP If/illeS! m.M! a
Address 30''54() /l}cKenz/-f' I)-.,..,A'-") 0
CityS-fr,.Vl'leld Phone.217-04?b
OVNER INSTALLATION
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
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/Comm I $ 36.00 ~nao
5. SUBTOTAL OF ABOVE ~(o~
5% State Surcharge / ~C)
3% Administrative Fee J 02f
TOTAL . ~ R- 88"
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~~T~~~--:2-t~~c?-~------~------------
RECEIPT j1:' I -
RECEIVED BY: 'f!.. 'I//;1,(/l---.-
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