HomeMy WebLinkAboutPermit Electrical 1997-10-6
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The following PI(Jj3ct 83 sU.J01\.,:::(1 :0. . . .' '. d'''.
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225 FIFTH STRE~. :np;"o...e~cnir.o ' C ( j ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 1/"\ In~((1 917\<1'/;
INSPECTION REQUEST: 726-0769-.!'\.r lJI Ci ty Job NumberUCl
OFFICE: 726-3759 _ A I' '." c., _,: '0 'f\ Y'\i1
ut ,onz"", _'Un..,". . -1.J_j-f-LCOMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION
_ ~.:j'() H-/Jm.ow~.L S,p-J..J
f17/:!;f!J..?53D~(ft 04
JOB DESCRIPTION
/Y'ew ~~ .st;hu.rA. h
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
. Electrical Contractor~/.,t,.,.. /fl<!:uJ ~f-
I
Address P.().8o)( ?oj9$
City~O&.~. Phone~J'?-/e,9e-
/
Supervisor License Numb~r .J!./9<f...s
Expiration Date /0;'/' P?
Constr Contr. Number~;:1 -lIP c,
Expiration Date /t). / - 9~
, A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home,or
Modular. 'Dvelling.
Service or Feeder
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
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less -L- $ 40.00 ~OD
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps OL- 1000 voJ.ts see "Bit above
C.
Signature of Supervising Electrician
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V
Owers Name ~t::..s .sc.huJttfi6
Address //.1'1. 8oJr' ~.L, 7'
" . _ One Circuit
Ci ty PiI"n./C t//'~C. Phone S4I."If(6 ''':':/6 2..... Each Addi tional
iJ... Circui t or vi th Service
OI/NER INSTALLATION or" Feeder Permit
The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
Ovner~Signature:
-,
:~~:-IF5lro;;j-(;Gf r-)
RECEIVED BY:, '/!... - f!J~____
D.
Branch Circuits
."
Nev, Alteration or Extension Per Panel
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00
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
40. () ()
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