HomeMy WebLinkAboutPermit Electrical 1997-5-6
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477 Authonzed Signeturn
INSPECTION REQUEST: 726-3769 -
OFFICE: 726-3759
1. LOCAT...+,ON OF INSTALLAT~,!\",' 'f~ '"
~U (~'k-(!;tv.lAr'l "dnt-fN'hHOt-V, A.
./:70~ ~15W1~ ()f)
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. JOB DESCRIPTION ,
If.lf;;r~ J 1 EY J;17t{5 r. 6') 0Yc. iJrYrf/RDO"l.
1?E-IlLICN" I-f(i-lrT c;.,!?C</i-r'
Permits are non-transferable 'and expire
if work is not started within 180 days
of issuance or if work is suspended for'
180 days,
2. CONTRACTOR INSTALLATION ONLY .
() 12 De,ef- Of- 1'ra;,:.,Sf?
Electrical Contractor rt'v f;J /70 J
Address ?f~ ft/~~,QT (JJJ, >.c.
. Ci ty <? /9) c+I Phone l:'I1ft - J '70 r;
L,--
Supervisor License Number ';1.. L/ / t'6
Expiration Date 10-( ~q~
Constr Contr. Number ir If ;L f; A
1-;}7~tt,~
Expiration Date
Sirya t~re' of
-4;. .
,
// ,,' j,tJ D.
Owners Name . ~ ,~p,}; J?l9N7';::
. v ,.
Address ;Jb,;2tJ (;!~ev r) ~/
Ci ty 5-11((:V CF rEJD Phone 7:lr:-P-S-.>:'L.
OYNER INSTALLATION
The installation is being made on,
,property I own which is not intended
for sale, lease or rent.
Owners Signature:
, O~TE~---~~~~-1---~------
RECEIPT It:.-, f'J'lA?7(ol)/
RECEIvED BY:
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.GFIE~D .:. ..:.".. ,
ELECTRICAL PERMIT~PLICATION
<-1 Ly .;v~ Number vr 705/ C,/
3.
COMPLETE FEE SCHEDULE BELOY
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq,ft. or less $ 85,00
Each ~dditional 500
sq, ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 40.00
,B.
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'
Ove~ 1000 amps/volts'
Reconn,ec t Only'
C.
,
'$ 50.00
$ 60.00
$100,00'
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
'200 amps' 'OT less
201 ,amps to 400 amps'
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see llB'1 above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
. -Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
'Circuit or with Service
or Feeder Permit
E.
5~ . SUBTOTAL OF ABOVE
,5% S ta te Su'rcharge, '.
. 3% Administrative Fee .
TOTAL ,.... . '. ..-
$ 35.00 ~&;-
$ 2. 00 .2..
not included)
$ 40.00
$ 40.00
$' 20'.00
$ 36..00
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