HomeMy WebLinkAboutPermit Electrical 1997-5-19 (2)
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. I JOIl DESCRIPTION
I \Ium,()o.k,("\ ,<:,\'1)(/, Hen1- rnl^nnd le.+-kr.s
Permits are non-transferable and expire
if IJork is. not started IJi thin 180 days
of issuance or if IJork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor y~""A
Address \210 OA Ie. P A1""lA-\ \2.-0
City W,je0E': Phone Y B5' SSY I.f
Supervisor License Number 1-/1../5 .SI (0
Expiration Date iQ-I- Ci7
Constr Contr. Number 1112<6(0
Expiration Date 2- 2- 9S
c.
Jr}-252>CU
10-/-97
Signature of Supervising Electrician
O~M AI/OJ
Address 01 50 Gc;.MJov GoOO
C r. I'
Ci ty0prif1jti d d-- Phone 7ZU(,f)1 (
OVNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
----------------7.;---------------------
DATE: ':)-(,-17
RECEIPT #: J c,'<6'-t I
RECEIVED BY: VA' .
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ELECTRICAL PERMIT APPLICATION
City Job Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DIJelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
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
Q1ot;.a.
Sum
S 85.00
S 15.00
S 40.00
"
S 50.00 "
$ 60.00
$100.00
$130.00
$300.00
S 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
225 FIFTH STREET
SPRINGFIELD, OREGON ~9'l4}7..::f-1 q -<;]J --.
INSPECTION REQUEST: , 726_3769---1
OFFICE: 726-3759 "UiorlZooSignaturo ~
-3',--G6HP.I.El'E FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION 1--0
9A-hG.n A \\-e.()::::l \50 (2.,C.teA.DCuJ., \NV~ A. NeIJ Residential-Single or
. - I Multi-Family per dIJelling unit.
LIf9f'fl ~SWJgN {)?;xJr;n Service Included: Items Cost
S 40.00
$ 55.00
S 80,00
volts see "B"
above
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or IJith Service
or Feeder Permit
S 35.00
"
S 2.00
E, Miscellaneous (Service/feeder not includ€d
-Each installation . ,
Pump or irrigation $ 40.00
Sign/Outline Lighting I $ 40.00 I./'l'-
Limited Energy/Res' S 20,00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5;' State Surcharge
3;' Administrative Fee
TOTAL
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