HomeMy WebLinkAboutPermit Electrical 1997-3-11
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97477 "0 II r ~I\ 2/11'2.,
726~37 .J. Ci ty Job Number IU? 7 ~
Authorized Signature fU. . ~p
3. COMPLETE FEE SCHEDULE BELOII
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
45(/J Har IO/A) Rd
IJ:.GAL DE~PTION
//031 :LaCJ!") !J7()1)
A_ Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included: '
JOB DESCRIPTION
uRJ~d'" seo&.n'+y
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Items Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son it ro I Seeu r i ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number IIOW Re-f.
Expiration Date
/r)-/-qq
Constr Contr. Number 65149
Expiration Date ,7-2000
Signature of Supervising Electrician
c:z/~L~------'
/'
Ovners Name GroCl'.vy Carl-
Address (J (0 Cf tJltP ~j/~) ;fa'
Ci ty ~J Phone 74-7- f/J()h4-
~NSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
D~T~~-----~-~~=~~-------------------
RECEI PT ~: (2 '-I?<r<":V1
RECEIVED BY:~_
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see flB" above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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
Limited Eneigy/Comm --'- $ 36.00 .~t,.{)()
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
31nO'O
/gO
{ 08'
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