HomeMy WebLinkAboutPermit Electrical 1998-7-30
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Data '1 ''JO~~~ _
225 FIFTH STREET Authorized Slgnature.01 /
SPRINGFIELD, OREGON 97477 "'i)'
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
,A. New Residential-Single or
I;' 1.6' If, I: /0 Mul t i-Family per dwelling uni t.
,-v'OO O~:"'~o (,o/l9oS' ~()I: Service Included:
0, ^ r:90 'T 9,;_ '11 f'\ "'0'0 19o. Items Cos t
<, r; 'V '"l\li; :01. oJ)
IJ. "'~' 0(,0 '00 ~l9/, 19O' I,;>~
ffi'" DES(;!p:PJ1ilf-!. v""6'11-9t~""'?Y"00'06Yt~ 0 sq.ft. or less 1.-- $ 85.00 ~
.\\ 0 J:'}\n c \ \l~ 19/,,~ 19,,_ 06, '011" ooS'l9 e ~ddi tional 500
/ - (.l:l . t~l9"'tl91: 4/;,c >"oft. /'v.~W-9Q~ll-98r portion
fer i s are non- transferable a7<cI-- e~){Et-o o.cIQ '9~ 0 ~~;...'o 2. $ 15.00 ..1Q
if w rk is not ~tarted ,:,ithin 18~jl,mJ) ~~'1.0S'0, ~~~'d H~me,or
of issuance or 1f work 1S suspendedU~~~q^~19t19 ~~ rr,.;,pwell1ng'
180 days. ""\{? :y ~ V19.tS.lr'lV,.l ~ or Feeder
"<?~o~.t'?OIJ. "'-6y
,B~ ~~ces or Feeders
Installation, Alterations
or Relocation:
~Eg~
2. CONTRACTOR INSTALLATION ONLY
Electrical Contracto--:B,/('S Z:/LJ.
Address "1 f 70
/I~
lAh.,T
City
Phone
9J?tJ 5
Expiration Date /0 ..:. 9 c; -
Constr Contr. Number .;2. /1 S I
Expiration Date (j-;}- f ,... 99
Supervisor License Number
~r.F.r:TRTrAT PERHl}1.APPLICATION
Ci ty Job Number l\ ~C'f'Af)
3. COMPLETE FEE SCHEDULE BELOV
Sum
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
s~ure of sup~rv'~' Electrician Over 401 to 600 amps $ 80.00
~ ~ ____ AI.Dver 600 amps or 1000 voHs see "B" above
X-- '~U77c '
'~~. ~ U' DrHI!>pg,nS1 Circuits
~~~ ~ ~ -
I ~I(\ - V C "'~~dl8(-IAt,!f,~n or Extension Per Panel
Add~res~ "I\A\ ' 4 C1f\.<::l AN~MM6iY"Er1~1&ft?.,.:::Rf/F"'H~ $ 35.00
Ci ty . \\1 ~ Phone 1 l' 1ll!.L( 18~~ .oK<RI%.JJ.'I,:.:fRM/1' ~
C1rCO!?k1Rr .~\I.$erV~a'tO.,.
IN LATION or Fee&:'er Permi 1."'0 FO.o $ 2.00
The installation is being made on
property I ovn vhich is not intended
for sale. lease or rent.
Ovner~~ignature:
--
DAT~~~--- I) -~'I() q ')( -^~.,u
. RECEIPT 11: 'v-1 ~1c.:1.2.
RECEIVED BY: ':J\ V;J)._l
"
E. Miscellaneous (Serviceifeeder not included)
-Each installation '
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~/\~~
5% State Surcharge ~.~JI
3% Administrative Fee '?,oj.r
TOTAL /!i.-{2.0