HomeMy WebLinkAboutPermit Electrical 1997-5-22 (3)
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225 FIFTH STREET ' f\ fV\
SPRINGFIELD. OREGON 974 7illorlt.ed s\gnaIUre-'~I-'+-
INSPECTION REQUEST: 726-}l69 '
OFFICE: 726-3759_~f)qi\b~ 3.
1. LOCATION OF I~iALb<TI~
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JOB DESCRIPTION '
'\ \\urY) IAI (1\ \ S\:!J' IAli-l-h \ O~p
Permits are non-transferable and expire
if york is not started vi thin' 180 days
of issuance or if york is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor EStA
Address 12\0 OAK.Pfl1Z)-T ItO
City EUqene Phone 118s-5S'f\o
~
Supervisor License Number L.J l.j ~ SIC.
Expiration Date
10/ Cj7
l 1" C.
Constr Contr. NumbeL' III 50 t.-{)'2>"'5CLs
Expiration Date ;<-).-1'6 . /0/97
Signature of Supervising Electrician
MEA
/ / (\
OvneL's Name \::e()P,r:;\ C;,()w+h
Address 3000 bt:--lWJCU1 j!;ui/T)
Ci tySr('V/!J(.;..d d Phone
OIINER INSTALLATION
,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~----------~:r-~~~-~~~~----
RECEIPT ~: :\-:"1V \
RECEIVED BY: ~\~
_EI.:ECTRICAL PERIIIT~PLICAT;?'"
City Job Number utlOA' K)
COHPLETE FEE SCHEDULE BELOV
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
the reo f
Each Hanuf'd Home. or
ModulaL', 'Ovelling
Service or Feeder
,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
S 85.00
S 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' '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
,
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
"
$ 2.00
not incl~d~'d)
. 1.
$ 40.00
$ 40.00 ~
$ 20.00
$ 36.00
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