HomeMy WebLinkAboutPermit Electrical 1997-2-14
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The tollowing project as sub ' "
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726-3769-~(.-1
Authorized Signature ~ M
J.
1. J&kATIgN OF INSTALLATION
~~ 6f'rtC."'''-/ A.
1='~~~C:O_3 ;).-::Ltf)02201
JOB DESCRIPTIOtj...., <,
~.~ ~>>(-~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~ .>.L".:"
Address '/':;0;). '-V (g "'"
Ci ty Cuj ~ , Phone ~I'(P -.;l.3r..J
Supervisor License Number ..S;l 8"ri- ~
Expiration Date /0/'17
I
Constr Contr. Number ~O - t'-/sC
(0/9r
Ovners Name
K
Address
City
Phone
OVNER INSTALLATION
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The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~~~~::~:~-~~~-------------
5.
ELECTRICAL PERHI'I;~<\!,PLICATION
Pi ,--.".",
Ci ty Job Numberi'iWJ/CrJ:!s~
;----..--",. -
~uMtLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 SQ. f t- or less $ 85.00
Each additional 500
SQ. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular'Dvelling
Service or Feeder $ 40.00
Sum
,B.
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
$ 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
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D. Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit / $ 35.00 3500
Each Additional
Circuit or vith servicil $ ~~
or Feeder Permit 2.00
E.
, .
Miscellaneous (Service/feeder not included)
-Each installation !., .
Pump or irrigation 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
~cO ; __
?j~,
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3u ~.I L/Jdl(
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL