HomeMy WebLinkAboutPermit Electrical 1997-7-3
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The, fal/owing prv'ect "" ^ubm'" . ,., ,
225 u~." STREET ~~~;~~~rnd does no! roq'Uire ~p~it7;;3;:g~fnUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 I r,..., 1"\('II:::'~
INSPEctION REQUEST: 726-3769 Zoning ,fLy , Ci ty Job Number '-'\ \ \J'Y J-...)
OFFICE: 726-3759 07 ? (.,
Dm ~ y ~ -, 3. COHPLETE FEE SCHEDULE BELOV
1. MCATIO~ JOIh IN~1;J;Olp(19<'jqd Slgnmure n "''' '
c\I \~) TNJ JlJI(,) _ :t=r 0i'1 } ~esid~ntial-Sing1e or
1 - Multi-Family per dvelling uni t.
\\~~-iWrtJ~~J Service Included:
~ ~ ~ ~E~~~p- 0J
200 amps or less
201 amps to 400 amps
City Eooene Phone 687-5770 401 amps to 600 amps
NOTICE: 601 amps to 1000 amps
Supervisor Licen.se Number -18Z?S I HI~ rt:RMIT SH~~&~~~I~~KS
Expiration Date , n_l_Q1 AIITJ.lnRIZED UNDER THIS PERMIT IS NOT
COMMENCfu O~Ws~t~~~r*f::r~~ ~~~e~;r~e1oca t ion
ANY 180 DAY PERIOD.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Permits are, non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
!
2. ,CONTRACTOR INSTALLATION ONLY
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Electrical Contractor J8 Electric
Address 1786 Ba 1 boa Street
Constr Contr. Number
84200 "-
ExpIra tion Date
6-22-~
Sign~ture(} s~an
"",o<.&l\iiolot ~n
Address~\~I~_ ~{()_
City~ . Phone'14-1.Q113
~~INSTALLATION
The, installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIPT t:
RECEIVED BY:
------C\-~~~~--~~;;~--
, ....\pJCh-
~~JY)
It ems
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Hodular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
$ 50.00
S 60.00
$100.00
'$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 00.00
see tlBn above
D.
Branch Circuits
Nev, Alteration or EKtension Per Panel
One Circuit l $ 35.00 l~S
Each Additional
Circuit or yith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE l 15 ,CO
5% State Surcharge ~~
TOTAL l. () "-
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