HomeMy WebLinkAboutPermit Electrical 1999-6-28
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Ault2llljl<rt'P'l'Ii"r~'IliliET AUTHORIZEDUNDERTHISPER~tJE~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 iOMMENCEDORISABANDONEDFOR 0 <l I'"Y
INSPECTION REQUEST: 726-376 NY 180 DAY PERIOD City Job Number f f tJ? ~6
OFFICE: 726-3759 .
3. COMPLETE FEE SCHEDULE BELOII
NOTICE:
l:HIS PERMIT SHALL EXPIRE IFTHE WORK
1. LOCATION OF, ]NSTALLATION
/y( 7/# /l/L.E~ e y
. A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Expiration Date
Constr Contr. Number Oh"794tJ
Expiration Date 1" - /Si - l:tf#~
. S~7~;"P:?!J ];;;y;~
Owners Name /V1 t#J?A" dLL.EP
4f$
Phone 71(7;7 J In
Address S').1 5
City >:eI'#
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-------~-7------------------~---------
DATE: (,ll'i'tf9
RECEIPT 11: I)Ji.{f,'Ifo 1/. .(
RECEIVED BY: ~ waUl
Items Cost
1000 sq.ft. or less S 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder .$ 40.00
Sum
C!
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res ~
Limi ted Energy/Comm I
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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