HomeMy WebLinkAboutPermit Electrical 1997-3-7
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225 FIITH STREET . ,,--U ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 Zonmo /),'7 31 j / J
INSPECTION REQUEST: 726-3Jl~9 3~7 't1.2- Ci ty Job Number Vf /0 VI VI
OFFICE: 726-3759 .\to.
Authorized Signature_I~~ 33l1PhB'fE FEE SCHEDULE BELOII
LOCATION OF INSTALLATJO~
IdM) C~J.n-,k1,/ t-r
LEGAL DESCRIPTION . ~
17fJ=3:.2'J. ':J.O(7;;({../OU
1.
New Residential-Single or
Multi-Family per dwelling unit,
Service Included: '
A,
Sum
Items Cost
$ 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
IA P:J n1d~. 5ecn.rt'1;/
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 it rol SecLJr j 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. Box 21009
Phone 461-5678
City Euuene
Supervisor License Number IhgqREL
Expiration Date jf}-I-qq
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80,00
see liB" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date 7-2000
Signa~~ ~Sing Electrician
k/ ..' --~-~
/' "
Owners Name Gnx=~rG ~.r+-
Address c.( 0 /200 7fJlAeu)6l.U
Branch Circuits
D.
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
/
74'1- t,4Rh
City ~41 of Phone
~ALLATION
$ 2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline LightinV $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm --L-- $ 36.00 ~
5, SUBTOTAL OF ABOVE 30170
5% State Surcharge IlSV
3% Administrative Fee /08'
TOTAL ,~R~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~-7-q7
RECEIPT Ii: 2c.{7~q
RECEIVED BY: U""
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