HomeMy WebLinkAboutPermit Electrical 1998-7-6
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&Pp,o..:.1. riI
zon~ ~:~l'ICE: ' ;
0;;,--& ' THIS PERMIT SHALL EXPIRE IF THE WORK .
ZZ~'1.'rTIiI~!':-:-:':Ofl1l.C:u UNUtR THIS PERMIT IS NCBLECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 9IDilMENCED OR IS ABANDONED FOR q \/1\ / Ld ?
INSPECTION REQUEST: ~26~g69AY r Ci ty Job Number () U ilfJ
OFFICE: 726-3759 IN" 81) f) ERIOD.
3. COMPLETE FEE SCHEDULE BELOIl
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1. LOCATION OF INSTALLATION
Wl., P4<pJieo..J
, A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder $ 40.00
Electrical Contractor..( I:. f.(fcrerc.A~lorn.~:tf;of:;
. t.......e.-
Address P, fl (!;" ~ :)'11 <j '2, 1, ,
Ci ty ~,o _ L Phone t:..Pb.ln~1\"
r
Supervisor License Number ~o-~~L-
Expiration Date AI-I - 9:?
Constr Contr. Number ? 0 ,t>.;;> q
LEGAL DESCRIPTION
I') t"i 3 d-.7 ..., I l\d-I (5\:)
JOB DESCRIPTION
Coli-<. t:.....12..M'~ 1~
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
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Expiration Date /... _ 'l.., 11-<; ,p
Signature of Supervising Electrician
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Owners Name do k ., <!... k.....R.J!_/.... 'If
Address 9'"):;- f",eli'~",)
Ci ty c;,f~ '_.1:: c, 00 ,(\ Phone "}Y7"p., L;.J
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
.
Ovners Signature:
~~~~-:~~~~~~~jf~-----------------
RECEIVED Bftn ,(Y1Il'r.~ ..
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
$ 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
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$40.00
$ 55.00
$ 80.00
see "B" above
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New, Alteration or
Extension Per Panel
GO
$ 35.0035.
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
5% State Surcharge
3% Administrative Fee
TOTAL
\
$
;;J.cro
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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