HomeMy WebLinkAboutPermit Electrical 1999-11-8
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Authorized Signature - - 't ' '0'" ~ 'U ~- ""
225 FIFTH STREET UU':'U, YOll may CJ 2m coys!:: I ','. I "El$CTIUCAL PERIIIT APPLICATION
SPRINGFIELD OREGON 9747Ifal"r;';:lZCCc;_~-.(:~c,::(h...t::~fJ:-,:me .
INSPECTION REQUEST: 726l1J3'7.69'!orth.: O:eOO:1 Utill\~ Notificatb1-ty Job Number ere; 1/ r'l .
OFFICE: 726-3759 Center is 1-800.332-2344).
3. COMPLETE FEE SCHEDULE BELOY
/
/ 200 amps or less $ 50.00
./ 201 amps to 400 amps $ 60.00
~hone 401 amps to 600 amps $100.00
NQ I ICE: 601 amps to 1000 amps $130.00
\Hj!5~\TSH'''Ll ~)(PIREIFTHEWOV\lk 1000 amps/volts $300.00
e AUTHORIZEDUNDERTHISPERMlTIS\\.upnnect Only $ 40.00
r.nMMENCEDORISABANUUNEe.FOlFemporary Services or Feeders
Numb~l' _ _ "'A"."....,'''D Installation, Alteration or Relocation
A/ln IOVU ".-.....'" .
1.
LOCAJION OF lNST~LATION
351> VOIAe;f.+>
"
LEGAL DESCRIPTION
/f&'i-l5t./'L 1)2f,150
JOB DE~CRI('~~~ I,
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
Electrical Contractor
Address
City
Supervisor
Expiration
Expi~on Date
Signature of Supervising Electrician
Owners Name hlftr-(.V L-ELo.;jtr
.0011 C.kf
Phone '1 rg--tflOO
Address
6575
<;'-j1,[1 j
City
OYNER INSTALLATION
tion is being made on
wn which is not intended
ease or ren t.
RECEIPT lI:~I/g
RECEIVED BY~t~--:
A., New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1000 sQ.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
.
New, Alteration or Extension Per Panel
One Circuit I $ 35.00 3;5
Each Additional
Circuit or with service] (,
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 1/1, If}
7% State Surcharge,:> K7
3% Administrative Fee i 2~
TOTAL l/ ~ ./6