HomeMy WebLinkAboutPermit Electrical 1997-12-3
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SpAFIELD
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THIS flERMIT SHAll. EXPIRE IF THE WORK
AUTHORIZED U The '~'I~\.,iM orcj,ocl as ellb"',:~:cd ~o,3 t
NDER THIS PEElMITd,S,NOJO.o not "quI.. C?cC:'iC I"no UOJ
COMMENCED OR IS ABANDON'e15'i=6R \
ANY 180 DAY PERIOD. ZoniflO M-C
225 FIFTH STREET ,0
SPRINGFIELD, OREGON 97477 DatV3Af7
INSPECTION REQUEST: 726-3769 Authorized Signature n rJ'....'
OFFICE: 726-3759 .
ELECTRICAL PERMIT APPUCATION
City Job NUIIlber q 71 h C; 7
3. COMPLETE FEE SCHEDULE BELOV
ru...
s:~~YOHJ
~OE
/7 () d--- d- g'
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
. A.
ION
600l-{D /
Items Cost
Sum
$ 85.00
1000 sq.ft. or less
Each additional 5eO
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Ovelling'
Service or Feeder
~h~08 J~~~ fhtNief
permi~ are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY ,8.
Electrical contractor~'Llu?c> f:.le.<:.."\v-tC
Address 1~C1cc, ~l ~;V.e- '
City ~~~ Phone (PP/M-&/~I
Supervisor License Number ~~
Expiration Dat,e 10 If) ,/Q8
Constr Contr. Number.;;;o-/1Q(l/
/O/O//qe.
$ 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 .
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
200 amps' '0'1: less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Expiration Oate
Signature of Supervising Electrician
( );, /- ----;VYJ'THIW.{Jf.j/UPs
Ovners Name 'f/Jon4f!D Ccac h_
Address q /.5;).0 Coixul'.J:n dtL)1-!\ I ~
CityCoburt Phone (fW :"",0/1
Branch Circuits
O.
c'
or Extension Per Panel
, ?f::. (J)
L $ 35.00 0-"
Nev, Alteration
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$, 2.00
OVNER INSTALLATION'
E. Miscellaneous (Serviceifeeder 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 , :s5 . 6V
5r. State Surcharge i. 7':::>
3% Administrative Fee /. /) .':::>
TOTAL .-:S7.-5v
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners.~ignature:
"
OATE:rR7!i/0IJRJv 3, M17
RECEIPT #: (.J2...,ii!'J {'>'7 :
RECEIVEO BY:) /. /11./LU'ICI. cI u