HomeMy WebLinkAboutPermit Electrical 1998-11-6
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225 FIITH STREET "''''''~D. ~ <' C<-.. ~ ~ ~LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 "'''''fit, cr " .
INSPECTION REQUEST: 726-3769 'a . - J Ci"Y Job Number q ~ / ~ ~ 5'
OFFICE: 726-3759 ~
1. LOCATION OF INSTALLATION
2. Y7" DU'~A~ ,(r.
'-
LEGAL DESCRIPTION
/7/1:$ :2 3 # ~.{)//J ~
JOB DESCRIPTION
4A'>.m.T-'lJoto 7 ~,1.~":f / Fv".u~
Permits a.e non-transferable and expire
if york is not sta.ted vithin 180 days
of issuance o. if vo.k is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Cont.actor AsSoc, 'cje~
Ite",t
,
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Address 17.-". 8"", ~( L
Ci ty F:vq ......
v
Supe.vtsor License Numbe.
GJ'!, 2.n 0
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Phone
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,
2.. (.7-) tile tG
J()'OI-'JCt
Expiration Date
Constr Cont.. Numbe.
/./J 6 '2... '7 s-
Y-I(.)'(jo
Expi.ation Date
Signature of Supervising Electrician
>. Yev-,~ ~,cr
Ovne.s NameJc...), ~)LI,.,k.~
Address
Ci ty Phone ~~-16~l>
OYNER INSTALLATION
The installation is being made on
prope.ty I ovn vhich is not intended
for sale, lease o. rent.
Ovners Signature:
---------------~l----------------------
DATE: /flh /7'8
RECEtPT 11: ,( , "? /9 &:t.
RECEIVED BY: " ,~~
COMPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
ti-Family per dvelling unit.
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
B.
Services or Feeders
Installation, Alterations
or Relocation:
It ems Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'OT 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 tlBl1 above
Nev, Alteration or Extension Per Panel
..
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit I
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
v- $ 35.00 ~cl>Q
-
$
2.00 2!....!!.
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
"( ') .1-00
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