HomeMy WebLinkAboutPermit Electrical 1997-5-22 (4)
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225 FIFTH STREET Au,ho,lzod Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-375~1qT\ GffiQLoPr\i 3.
('\1. LOCATION OF INS'fALl:tTION \
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JOB DESCRIPTION
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Permits a.e non-transferable and expire
if york is not sta.tea vi thin' 160 days
of issuance 0. if vo.k is suspended fo.
180 days.
2. CONTRACTOR INSTALLATION ONLY
Elec tri cal Con t rac to. E.S-t A
Address l 'Z,l 0 OAILP AfCM 'fU)
Ci ty '(;uy;ne Phone l-/!6S- 55'11,0
Supe.visor License Numbe. L/yS; .5'0
Expiration Date /'0/'17
o C.
Constr Contr. Numbe. 11/ Zv~ 2(y15SCLS
Expi.ation Date -2/),/ c;i> lojqry
Signature of Supervising Electrician
~
/' () D.
Ovne.s Name Gfnprt: I brm.J1h
Address 12JoOO bAt~'(f 8J..,\4)
CitY'~rr;nj.{;elr;/ Phone '
OYNER INSTALLATION
,
The installation is being made on
prope.ty I ovn vhich is not intended
for sale, lease 0. .ent.
Owners Signature:
,1' A ~.
DATE~----------~-:~~~V\ \ -~--~ --
RECEIPT #: ,j ""i L..::'~!
RECEIVED BY: ~~~::v" \
ELECTRICAL PERMIT APJ .ICATION \
City Job Number llfl~l()
COMP.LETE FEE SCHEDULE BELOV
Nev Residential-Single or
Multi-Family per dvelling unit.
Se.vice Included:
Items Cost Sum
1000 sq. ft. 0. less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modula.. 'Dvelling
Service or Feede. $ 40.00
,
B. Se.vices or Feeders
Installation, Alterations
or Relocation:
200 amps 0. less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps-----
Over 1000 amps/volts -----
Reconnect Only
$ 50.00 "
S 60.00
$100.00
$130.00
$300.00
$ 40.00
Tempora.y Se.vices or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Ove. 600 amps 0. 1000
$ 40.00
S 55.00
$ 80.00
volts see "B" above
Branch Circuits
"
Nev, Alte.ation 0. Extension Pcr Pancl
One Ci.cuit
Each Addi tional
Ci.cuit 0. vith Service
or Feeder Permit
S 35.00
..
S 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
. .
not inc1ude'd
. "
40.00
40.00
20.00
36.00
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$
S
$
$
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