HomeMy WebLinkAboutPermit Electrical 1998-5-27
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S.GFIELD
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SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
NOTICE:
THIS PERMIT SHAll EXPIRE IF THE WO "
. 'U I HUH/ZED UNDER TH/S PERMIT IS ~&CTRICAL PERMIT APPLICATION
971'>VMMENCED NOT CI '
7.t<ju3169 ORISABANDONEDFOR City Job Number 7~D/ 7- S
. T 180 DA Y PERIOD,
1. LOCATION OF INST~TION
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LEGAL DESCRIPTION
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRA((TOR INSTALLATION ONLY, \B.
5e.~\ 1''tt, ~-~('I"\ k>~\o:V~-t\()rJ
E1ectncal Contractor'.
Address1) (),,\t{))O ~~L{\?)
Ci tY'SlA.<""~lQ Phone tdSL-(,,~-1iJ.
~Vd. "'3\... t.
Supcrvis,;r Lic""nse Number ~-~ l'7 c..~E
Expiration Date I.c:sI c}'\f'I~f1
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Const[ Contr. Number \~B"=-./~
Expiration Date \0- \:'-9'6
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Ovners NameC.\, r:::J'~("\i\?..r ~""'AD
Address~bb ~ ~k\..f'-5l...>
Ci ty ~\..A{)~ Phone3l\,c::;.-'13"h
OVNER INSTALLATION
The installation is being made on
property I ovn,vhi~h is not intended,
for sale, lease or rent.
Ovners Signatu~e:
---------------------------------------
DATF.: I ~5" /).'119,y
RECEIPT 41: i? 3, 0 dLf l{ /J
RECEIVED BY: ,OJ/ w'iuA/
3. COMPLETE FEE SCHEDULE BELOY
A. Nev Residential-Single or
Multi-Family per dvelling uni t'.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dvelling
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
,$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
"
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5,
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
..,
$ 40.00
$ 40.00
$ 20.00 ~~(),ro
$ 36.00
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