HomeMy WebLinkAboutPermit Electrical 1997-4-4
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225 FIITH STREET
SPRINGFIELD, OREGON 97477 o"!~
INSPECTION REQUEST: 726-3769 h I dSi "a\u'o
OFFICE: 726-3759 Aut 01 ze gO' .
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTIW-, c-
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JOB DESCRIPTION
1/1<::./1411 SI'CU~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
97-fJ~ 57J
City Job_Number
3;
COMPLETE FEE SCHEDULE BELOV
-
Items Cos t
Sum
A. New 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 Dwelling
Service or Feeder
$ 85,00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorSonitrol Security or Relocation:
Address P.O. Box 21009
City EuuRne Phone 461-5678
Supervisor License Number /6!'q R'6L-
Expiration Date !lJ-/-qq
Constr Contr. Number 65149
Expiration Date .7-2000
Signature of Supervising Electrician
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Owners Name LI"bev+y i?.dl'ya( 15tt..l1k
Address flrlq Pmrl 51
Ci ty Eu(jt'!J1(J Phone_4f?4-1!i"6~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------rj-----7---------------------
DATE: '"1-l{.q .
RECEIPT JI: :;f-, Igr)
RECEIVED BY: (u-
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 40i to 600 amps
Over 600 amps or 1000 volts
D.
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
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40,00
20,00
36,00
3Ia!!:E
$
$
$
~ $
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