HomeMy WebLinkAboutPermit Electrical 1998-1-21
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. ~Oi\CE: EXPIRE lri\1E WOR\<. .
RMli S\1/1.LL _....,.Ali IS NOi
i\1IS PE UNOER _C'J.!RICAL IfERHIT APPUCATION
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to: ""ENCEOORIS/I.~ty Job Numb,:r -1 / f.t; ( L
CON1N1 '~R\OO. .
AN'! '1l(Ij)/I.'I ~ORPLETE FEE SCHEDULE BELOY
LOCATION OF INSTALLATION I
I/)" trD b-A7eV~ LL/.Jrr(" . A. New Residential-Single or
t! Multi-Family per dwelling unit.
ffl~I~() ll(D () Service Included: Items Cost
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tr~ not roquire nn"""'I1/-' . ,
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Zoni~ ' CG
DaleJ.-Z! :!t]
Auth9rlzoct '
225 FIFTH STREET - Slgnature--fl...m
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
JOB DESCRIPTION
JJ.L~ ~ I?Lh;.Ure(.J/c.L~ + (}/~loil(
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 .B.
Electrical Contractor [.JI,tl/O,zt'rs' ElJ!i:r
Address 49,'2, ~f.leu.~\ <;~,
City S:PF(). Phone') 47 -09;11
Supervisor License Number 3D?b" S
Expiration Date /D ~ /.. '1 ~
Constr Contr. Number 0) <;< ~ ~
Expiration Date
h-tj.-'7V
Signatur'}1 of S
V~ /10.
f .r-
rvising Electrician
Owners Na
C hi ./f!.y1VI\fff7tnf/:,'
Address J O(q; r R- (j.j~ WtJ{2.
City~pf.d Phone L/7-hC/tfo
~STALLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovner~signature:
-
DATE: --7fli/q <K_
RECEIPT II:' hi. ~ \'}_I-..
RECEIVED BY: 'j:.' lit---'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling'
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less '2-
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 JOU
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'o~ less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
.'
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit 30 $ 2.00 (00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
S 20.00
$ 36.00
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