HomeMy WebLinkAboutPermit Electrical 1998-6-16
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Authorized Signature r\YY~~()l'C: u;..\.\. ~"j.I'If\~ ... IS \'101 - -
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225 FIITH STREET lt1IS I' "ED U\'lO~f\ lt11 \'llt~CAL PERIlIT APPLICATION
SPRINGFIELD, OREGON ?7477 P-Ult10f\\.. S ;..6;"\'100 uto All ( I
INSPECTION REQUEST: 726-3769 ,.\;\~I'iCt.OOf\1 City Job Number -/ tl Lr7
OFFICE: 726-3759 CO", :'I1'~f\\OO, --
;"\'1'( ~eo 011\ 3. COMPLETE FEE SCHEDULE BELOY -
1. - LOCATION OF INSTALLATION
lj./~'{"t/ !fa" / Plj (I/-:.
I f842 DS!J7~I~N9 f) ( I
JOB DESCRIPTION . .
Snll Y;b11 ('hllnf''-. I'll hlo<'J!l'rJlf)) ~nH-wU
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular -Dwelling
Service or Feeder -$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ Installation, Alterations
Electrical Contract~~ ",:ru<:""bipd &/fl'-fYl:musor Relocation:
Address.P n RIO.. LLDf5LJi 200 amps or less
l: 201 amps to 400 amps
City If /1q pnl'_ Phone L/1{l/-Qo1"6 401 amps to 600 amps
601 amps to 1000 amps
Supervisor License Number ~~1_ ~1r Over 1000 amps/volts
Reconnect Only
Expiration Date
Cons t r Con t r. Number q'R 1 J./i)
Expiration Date_t_ H -11- no
Si~~~~ng Electrician
Owners Name fY?/.J/l'trirh /}If' ~''''-'1
I . _
Address .~/.p 13.1) Y.. ..+0 1/ 1'" <.'"
Ci ty (' r'-c, '.J..>1..' f
Ph on e ....:L loll" - "l 'is:!,-r
Ol/NER INSTALLATION
DATE~-t;J-;,~-I27~---=----_._----------
RECEIPT II: /}::. f),<, '\ 9
RECEIVED BY: Yi -;///.,.,)/
$ 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
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circui ts ~
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00 -~cx?
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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