HomeMy WebLinkAboutPermit Electrical 1997-4-16
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The foi1owing project ., submr.'Rd !'"~ tho fo!!,":in ~ cr 70550
zon'..\1: ~nd does not reqUire GpC~hIC; ~nd U~~ 0
approval. ELECTRICAL PERMIT APPL~~ ~ .
9~;~~3769 ZOning-----k.OR Ci ty Job Number 1if:;jr;'V VU"(I
Dele 1-//'- tn- ft'#)>4
3 /'t'MPLETE FEE SCHEDULE BELOY
1. LgfATI9N-.., OF IrS ~oN>rized Signature
G:-~?t?2 ' J..I iJl,A... 'M'd-JJ' '" _ A. New Residential-Single or
Multi-Family per'dwelling unit.
f!i!t;/1ftoeRfJfJi1roOTJ Service Included: Items
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 72~-3759
JOB/ DESCRIPTION
OIlarJl/tIl
Permits are non-transferable and expire
if work is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~' _ / I _\I Installation, Alterations
Electrical Contra ~".d'M~U~r Relocation:
Address ~9, , r~vfA~ ~. '~OO amps or less
~ , 201 amps to 400 amps
City'N2t1,A ~ Phone fe-<{/~0S'7'1 401 amps to 600 amps
- ~ 601 amps to 1000 amps
Supervisor License Number !).(n~O &E...- Over 1000 amps/volts
Reconnect Only
Expiration Date /tP/9'7
Constr Contr. Number (J't'ttj(
Expiration Date to/<l?
Signature of Supervising Electrician
ovnt?:
~/eflAJj?.JJ
~.
":::f,~Z;
Ci v<' j2,'...JJ PhonE("S4'iJ 'lll/ - 4~v
OWER I STALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or ren~.
Owners Signature:
D~~~~--~-II~-:~~------------------
RECEI n I: ,j6J ~'4 )
RECEIVED BY: t1/
C.
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see IIBII above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installati6n'
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
x
5.
SUBTOTAL OF ABOVE
5% State Surcharge
Tp:oo. )to ,
$ 35.00
$ .2.00 .
not included)
$
$
S
$
d2I) -
I -
~~ .fdO
2/. &0
40.00
40.00
20.00
36.00
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