HomeMy WebLinkAboutPermit Electrical 1997-5-22
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225 FIITH STREET "C 1;) ,h"1
SPRINGFIELD. OREGON 97477'!1.e~ -vl-f
INSPECTION REQUEST: 726.....3i1&;~n re n f'Vt
OFFICE: 726-3759 61-r::\O .
1. LOCATION OF INSTALl..!\TION
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, JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not startea vi thin' 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALlJITION ONLY
Electrical Contractor Ss,-ttt
Address 1210 {'-i/1\<-PA,GH Qo
Ci ty ~jf'nfJ Phone Y ?,c:;'.':)S-{ l.o
Supervisor License Number L1L1S':)1 \0
Expiration Date Ib ICJ7
Constr Contr. Number 1/l~5'v>
Expiration Date eJ-d-7'7J
:1'_ C.
VV 2st;'CL's'
/0/ CJ7
Signature of Supervising Electrician
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/ D.
OwneL's Name (2,enPrr; I @,,rQ0"'h
Address 3 00"0 &fVvJMfr' Gt...VD
Ci ty Spr, (\~ i' -Go \ d... Phone
OVNER ~STALLATION
,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~---cs~~r[~a:\~~~----
RECEIVED BY: ~~.\
ELECTRICAL PERMIT Al'PLICATIO~
~i. t~- Job Number C\l [)X\ U
..
COMP.LETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling 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
.
,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
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
.'
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not include'd
, !.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40,00
$ 40.00
$ 20.00
$ 36.00
400()
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