HomeMy WebLinkAboutPermit Electrical 1999-8-24
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
/70/ R II. ),(J t/ E"1f/
LEGAL DESCRIPTION
170 ~ ') 7 50 ()o1.lJiJ
JOB DESCRIPTION
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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 INSTALLAHON ONLY .B.
Electrical contractor"ffiIL1~~t;"" G'16:t"".
Address '7 { "7 ~ /P,. "2 4-
Ci ty L.lIf?~/C/E Phone '3c/:? -7:?-q-;
- I
Supel"visor License Number? -')20.5
Expiration Date /O/tJ( (tN
/ C.
Constr Contr. Number ':2./'/ - /5St!!?-
Expiration Date /0/0/ ~
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Si of Superv' ing Electrician
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CIA II II AI JI-.,
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Address /0:2 fi &-
City Sm... /J
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Name
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
---------------------------------------
DATE:-R.2""",~
RECEIPT -II: .:?~ ~~
RECEIVED BY: . /"7~-
/7'(/ -.
ELECTRICAL PERMIT APPLICATION
City Job Number '18/').2. r
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular.Dwelling
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 Cos t
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. 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
.
( $ 40.00 Lfu
$ 55.00
$ 80.00
volts see "B" above
"
New, 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 with Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
"7.8% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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2.40
1.14
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