HomeMy WebLinkAboutPermit Electrical 1996-3-15
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Gj ~O , 43>
I
3. COMPLETE FEE SCHEDULE BELOV
225 FIPTH STREET
SPRINGFIELD, OREGON 97477.
INSPECrION REQUEST: 726-3769
OFFICE: 726-3759
'..
1." LOCATION OF INSTALLATION
/()7 / LAu~E'-
. . i.
l~ r.o~ DEwr~I~N~ l 0 I {)D
Ne... Residential-Single or
Multi~Family per dvelling unit.
Service Included:
A.
Items Cos t
Sum
$ 85.00 gS' e.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof. .
Each Manuf'"d Home or
Hodular Dvelling
Service or Feeder
JOB DESCRIPTION
lA/I Rt.. IV /3<./ J/Ov r, t::
1\
perm'i ts are. non-t~~nsferable and exph-e
if york is not started....ithiri 180 days
.of issuance or if york is suspended for
.180 days.
ro
$ 15.00 Ib-
$ 40.00
B. Services or Feeders
Installation,. Alterations
/!:LEC., or Relocation:
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con traCtor L,J-(, M0ru21 <;
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40-,00
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
Address 4 ~ :3:, SrlELL~\ c:sre
City SPfl? Phone ~ 4 7~O'611
. Supervisor Licen.se Number 3e-Glb-5
Expiration Date JO-f-1r;'"
6 /~~~. C.
Constr Contr. Number
Expi"ration Date {,-:-e~9~
Temporary Services or.Feeders
Installation, Alteration or Relocation
200 amps or less $. 40.00
201 amps to .400 amps $ 55.00
Over 401 to .600 amps $,80.00
Over 600 amP!l.. or 1000. volts..see "B" above
Branch Circ.uits
. ~e of S . e Ising E.iecti:ician '. .
r. Qvners N' l~~~+ ~lvA r'I'---' D..
.Address.9.2AftJ ~. (1nhup'u} eO
Cl ~Dh, .~ DY2thO" 7'f7 -&.11
01lNER IN T LATION
Ne..., Alteration o~.Extension Per Panel
.. "'
.One Circuit .
.Each Additional' .
,. Circui.f"or ...Jth Ser.,i"ice.
. orFeed~r.: .,~e~mi.t . .
$ 35.00
$ 2.00
E. . Hiscellaneous (Service/feeder
-Each installation
~uinp or. lrriga tion.
S1gn(Ou tlJ~~ .Lighting
LA~it~d.Energy/~es
. Lillii t.ed.~n~,rQ':IComl)1
StroTOTiu. OF. ABOVE
5.t.State.Surcharge
.TOTAL ...
." '. ~'. . '. . -:...; ~',' .
not included)
:rhe. installation. is:. being made on
property ~ ovn.~hich is not intended
for sale; 'lease or. rent.
.' . .
$40.00
$ 40.00
$ .20.00
$ :36;60
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DATE: ...3-1"'5 -G} it?
RECEIPT, t:J lJ_U- if.). I . . ,.
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