HomeMy WebLinkAboutPermit Electrical 1998-5-6
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;pprov~ /'1'6 NOTICE:
'^ N' THIS PERMIT SHALL EXPIRE IF THE WORK
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SPRINGFIELD, OREGON~IZNCED OR IS ABANDONED FOR
INSPECTION REQUEST: ANt2frJ033~ PERIOD
OFFICE: 726-3759 _ . .
1. LOCA1;ION OF INSTALLATION
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Numb:r ({go L/ , I
3; COKPLETE FEE SCHEDULE BELOV
.
,A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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JOB DESCRIPTION
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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
Electrical contracto--:B:/('S <;:I"J.
Address.,1f70 W, 57 / I ~
City
Phone
Supervisor License Number 9 RtJ S
Expiration Date 10 .:.. 9 c; -
Constr Contr. Number ~ /1 S' I
Expiration Date (/-;}- f .-- '1CJ
~U~U~ng E;rician
~
Owners Name ~<!.DI",^ ~_"~"
Address .3~ I? D ~~~ ~
Ci ty c>'1l."""'.' Q.{ Phone 7lft,.' ;l~.3 7
OVNER INSTALLATION.
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~signature:
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DATE: ---15=- "'- "f <:{
RECEIPT #: ..J."'ln'l '?
RECEIVED BY: "+II M )
,B.
Items Cost Sum
1000 sq.ft. or less $ 85.00 '6"S. -
Each additional 500
sq. ft or portion 0-.. 30. -
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Ovelling'
Service or Feeder $ 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
D.
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u VOLts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration 'or Extension Per Panel
"
One Circuit
Each Additional
Circuit or with Service
or. Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation .
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited. Energy/Comm $ 36.00
,
SUBTOTAL OF ABOVE Jp II ~ - _
5% State Surcharge ~ S 7<:.
3% Administrative Fee .$ o.:!>lI :1,,~
TOTAL 1f--n~. ~~, ~o
E.
5.