HomeMy WebLinkAboutPermit Electrical 1997-8-21
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The. following project as submitted has the foflowln
lcnmQ, und doos not requiro specific land U.'" g
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9~~E~~WSignature nM
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
r; 'y Job Number ~ f1DtQ.fo
3. COMPLETE FEE SCHEDULE BELOV
1. ,~~~~rh{D~~~[\
I ~~~{JjION ()(jid)tf\
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
~' JOB ESCR1PTIONJ~7\ I,^", dbwDL 1000 sq.ft. or less
\..O~/..JU. ~'l)1.> ~~h additional 500
~ . ~~~~ f\ll' ft or portion
Permi ts are n, - transf!tJ6ble and t.ll..~~~ ~\ \'2> ~'rnereof
if vork is no s t'HM<\~thj8,~~ iJi\~\l5 ?~?-~ ~~ch Manuf' d Home. or
of issuance or if \'\)btk?t~~btp~\lfo~OO~~O Modular Dvelling
2. CONTRACTOR INST fJfiVfS1"!;'p-\oo. B. Services or Feeders
, C ,:'~~ Installation, Alterations
::::~::C~~is~o ~~~~* ::OR:~::a~:o:~ss I~((J
C . A-I ^\ (\ JY] I 201 amps to 400 amps ~
Ci ty T.1 ,)~QX\Q ~ Pho~e \\U. )z:\ 401 amps to 600 amps
u.1~1- () AO Q 601 amps to 1000 amps
Supervisor L cense Numb~r ()'-tT'l5...) Over 1000 amps/volts ---L-
~ \ q Reconnect Only
Expira tion Da te \ V" . e
Constr Contr. Number '?l9.4C\'7
\.\()-q~
Expiration Date
Signie of ~up
ovne~ ~ ~101.l\
AddressLnll.o ['d..()~. J.i~. (\X ~ \
ci~lO\)~JlU\- Phone~
OVNER INSTALLATION
Electrician
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
----------------Il----~---------------
DATE:_ 0'<:1.1.9- I I)lr"'-\):
RECEIPT II: . J I ......'.. ~. .,)\\-..1 -
RECEIVED BY: v \ UU'-"'---"'""
C_
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
&16([)
"'-LO
...'.1./" XJ
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
D.
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "BII
above
,,'
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permi t /..D1Jz1 $
E.
$ 35.00
2.00
~g.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAl.
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
ClW~
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