HomeMy WebLinkAboutPermit Electrical 1997-7-23
The. follo'wing projsct as cubmttted h.-:) th.! :C'lIowing
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97477 O'i.j' .r21,-fi')
726-3769 ' .~ 11. .
Alitiiorized Sjgnature~V_IVI
3. COMPLETE FEE SCHEDULE BELOV
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~\l) \JCl~\~
Address\).\).~ f\.t;\~\\\ .
Ci ty ~ \ lUO Y\ Q __ Phone \0 ct;?'. ~13
supe:::-tcens~~~?- ?,~ ')AS
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
lln IVlA~,,-, "',..
/ I.Eft5'~~~:rZtt.r:son
JOB DESCRIPTION
Permi ts are non-transferable and expire'
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
Expiration Date
Constr Contr. Number
Expiration Date
Signat~re of Supervising Electrician
itJ~ A. ~.J'lC
O~ners Name Dr" .l~, O'Cp_~~,
Add ress \ 10 1'"-I\(I.:..:l
Ci ty ':; pCIJ Phone "7 LI/- () Il.(l.
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-:~~~;r~----------------~
RECEIVED BY: X. /fi ~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Q 7 () lDt
A. Ne~ Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
S 55.00
$ 80.00
volts see ItB" above
D.
Branch Circuits
."
Nev, Alteration or Extension Per Panel
One Circuit 'I S 35.00 ~"~"VO
Each Additional
Circuit or vith Service v.1JO
or Feeder Permit ~ $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
S
$
S
$
I-h .oD
L.n ~
4Cr-'i~'
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.