HomeMy WebLinkAboutPermit Electrical 1998-7-6
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DEVELOPMENT SERVICES DEPARTMENT O\eelll8llUbm~~'::: 1
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 ,- t)al8 '" ~
INSPECTION REQUEST: 726-3769 ~
OFFICE: 726-3759 .
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
~qO ~"r\ l't ...oJ+; ,
Expiration Date
,
a~;:P2~ctrician
Owners Name~~\ \\ -6fur\J\ r
Addr~s ~~<65 lb
Cit~O-~fi Phon l1b5Jrf
O~ "INSTALLATION
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
/
DATE~----------~-~---ll~~~---rJ--
RECEIPT jf:, \~I'r.~
RECEIVED BY: \J\ITT(\l-./.J
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERKIT APPLICATION
Ci ty Job ~umber ~ ~Q.. 4
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
JOB DESCRIPTION .
;Jrf\lTTC\\b, -\\\'ffi~O\\.l~tl->
Permits are non-tr~nsferab~e and ex~e
if work is not started within l8~~~
of issuance or if work is su2f~~~~
--l80_days. ' ,. . '-'1!:-~'~ <1l .'
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2. CONTRACTOR INSTALLATION w.~ ~ <u-. B. Services or Feeders
1::'0 i:<) ~~~ Installation, Alterations
Electrical Contractor (lJ~S P'~~~~ or Relocation:
o {J.._t ,/ . ~ ~?> 'to
. Address ---I..!.f'\, ""'-, l' I.,. '&1-> ~ 1;; ~ ~200 amps or less
~o -0 ~ IP.., ~l amps to 400 amps
Ci ty Phone..Pi../ -.1.:J.3b ~Q <1l ~ amps to 600 amps
~ ~~~~mps to 1000 amps
Supervisor LIcense Number I'" gt:,S '<::>~ ~e01000 amps/volts
q..R'~,~ct Only
Expiration Date 10 -, -q 8 -r ,.
C. Temporary Services or Feeders
Constr Contr. Number 32l.j.q Installation, Alteration or Relocation
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D.
Branch Circuits
Cost
Sum
$ 85.00
$ 15.00
$ 40.00. ....,.._..
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00 ~D
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightinv $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE L/o . DD
5% State Surcharge 1,00
3% Administrative Fee J. il,n
TOTAL 1-1;'1. a.n