HomeMy WebLinkAboutPermit Electrical 1998-4-8
Oate
1M , . I. i . SIgnature
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1, LOCATION OF INSTALLATION
~79j~~ '5''/-
LEGAL DESCRIPTION , .1
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
E:{pi ra t i on Da te
Cons t r Con t r. Number
Expiration Date
Sign::: :urz of SlIpervising Electrician
Owners Name qlz/q/
Address (;'7'7J
'5' ~A)
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City
/1/7
Phone
OYNER INSTALLATION
The installation is being made on
property I own whi~h is not intended
for sale, lease or ren t,
Ovners Signature:
-----------------n-~- ---------------
DATE: .d, 81'j'tJ
RECEIPT #: 71 ? '! If: 3>
RECEIVED BY: ' ;?I~A'_~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9 ~ O~O,
3, COMPLETE FEE SCHEDULE BELOV
A, New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft, or less $ 85.00
Each add i ti onal 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:
C,
'200 amps or less $ 50,00
201 amps to 400 amps $ 60.~
401 amps to 600 amps ~~~10'.
601 amps to 1000 amps ,..",\~S'J'1o.'2>.~\
Over 1000 ~s/volt'L~'j..\'''' G9.~U',OO
Recon!:a'\'t\\:ltWy K 'O~~\)",-;'\'6?"S~~'ijYJ
~v ~~~\ ~f;)~'f\_'nb.~f;)O~
TempOr:'i~~e~'J o,\'O~Clers
Ins tallah~vfll, \\\(~Eit'to!0 or Reloca tion
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200 amps'~'I~i\~"''l? $ 40,00
201 amps'~~'l4~ amps $ 55,00
Over 401 (Q 600 amps $ 80,00
Over 600 amps or 1000 volts see "B" above
D,
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit L-- $ 35,00 "')5":<70
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
.Limited Energy/Comm $ 36.00
5, SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
{ $'".C-O
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