HomeMy WebLinkAboutPermit Electrical 1998-3-5
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225 FIFTH STREET
SPRINGFIELD, OREGON 97 41Wthorizeej Signalure
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
L,l\CAT,IO~ qP INSTALY.T:W~ -J.-
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Per~its are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
1.
2. CONTRACTOR INST~TION ONLY ,B.
Electrical Contractor Deo..W$ ~let.tFtlc.
Address p'D. go-;%. ?..C;~S
Ci ty Z~ '1 eoJ e 'l7</u" Phone q ~~ - <; ~03
Supervisor License Number ~:?I'1 S'
Expiration Date IC>- \ - qq
Constr Contr. Number qq ~7'1
Expiration Date & -:W-9Q
Signa~O~iSing Electrician
Ovners Name 0X\nMl rtQ V (~Q f)
Add~S~~~ ~l\A~ -
Cit / . ~ Phone...~4-S.q'{{~
o INSTALLATION'
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Ovner~~signature:
",
DATE: _ ?-'?~~
N>\'J:..LP1' 11: ";.t:"'7~ 7
RECEIVED BY:~~~
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ELECTRICAL PERMIT APPLICATION
v...7 Job Number 0\ 3() Il, ~
3. COMPLETE FEE SCHEDULE BELOIl
. A.
Ney Residential-Single or
Multi-Family per dye11ing unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'Dyelling'
Service or Feeder
Items Cost
I
3
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
S 60.00
$100.00
$130.00
,. '\$300.00
'""'$ 40.00
C.
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
$ 40.00
$ 55.00
$ 80.00
volts: see "B" above
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or' Feeder Permit
$ 35.00
$ 2.00
Sum
Ae:,
45
,-
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Camm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
$ 20.00
$ 36.00
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