HomeMy WebLinkAboutPermit Electrical 1997-4-1
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approval.
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726-3769
225 FIFTH STREET
. SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
1008 Harlow Road"
1I{1~1){f{TI?5~2C5
JOB DESCRIPTION
Connect (3) wall signs to existing circuits
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 Contractor Heath Si2ns
Address 4644 SE 17th Ave.
City Portland 97202 Phone 232-26202
Supervisor License Number 366sig
Expiration Date 10-1-99
Constr Contr, Number 64263
Expiration Date
-1-9-98 .
Signature' of Supervising Electrician
c::j:( j2~ 12. . . .
Owners Z;~~v11 ~~
Address rrf:; ~~ 0h ,-;~d-
Ci ty
Phone
The installation is being made on.
property I own vhich is not intended
for sale, lease or rent.
Owners Sigria ture:.. .
ELECTRICAL PERMIT RPL~CATION .
Ci ty Job Number "-'l(,)~)
3. COMPLETE FEE SCHEDULE BELO~
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
It ems Cos t
1000 sq,ft, or less
Each. additional 500
sq. it or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
.B. Services. or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
60l'amps to 1000 amps'
Over 1000 amps/volts
Reconn.ec t Only'
Sum
$ 85,00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00'
$130.00
$300.00
$ 40,00
C.
Temporary Services or' Feeders
Installation, Alteration or Relocation
. 200 amps' 'OT less $ 40.00
201.amps to 400 amps $ 55.00
Over 401. to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
D.
Branch Circuits
above
.'
Nev, .Alteration or Extension Per Panel
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$20.00
$ 36.00.
120_00
One Circuit
Each Additional
Circuit or vith Service
Or Feeder Permit
E.
Miscellaneous (Service/feeder
" -Each. installation
Pump or irrigation
Sign/Outline Lighting (3)
Limited Energy/Res
.Limi~ed. Energy/Conim
.'. ----~-:...-------?l~----n---- --~-~---5:"'. SUBTOTAL: OF 'ABOVE' . .120.00 '.
'.:':. DflTE:.... -'.":'1" \:.'-1. n..,,,,;.i""If-". '.:..:..I.:..;:./'.,.....'.5%.Sta~e:su':"ch~rg e::;". ..,:' ".~df~"
:., " ,RECEIPT.JI:..'". .,', . .' .,' ..... ',..... '.., ._NJL.l........,.,..,";~:....,3%. Adffilnlstr,atlve. !,ee,..' <._,., . '.
.,..,.': "RECEIVED 'BY:. .... 'YK 1..1.)f"\'.. .' -. ~"'",'"""'TOTAL':""'":''' """'''':'~...."",,,-, !.-"" .' .
. " . . ,-' . .." U \~'t,_- _' " ,., , '.... .: .' ,':.', .' I' "
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