HomeMy WebLinkAboutPermit Electrical 1997-4-3
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477,'
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
10 ~TI~ OF IN~~ON. '7>d
\ 11 c; -Hn\ orJe..1 rp I -K
L.J 0
-::i2.~Al- DESCRIPTtQ!:l..., "" / A 1'/'\ J DO
"UJ\51 (\O.~ J /(~ If) <7"UO .
JOB DESCRIPTION
Alarm Installation
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 PERHlT APPLICATION
City Job Numberq704\t~
3.
COMPLETE FEE SCHEDULE BELOll
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to'lOOO amps-----
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 amps
Over 401 .to 600 amps
Over 600 amps or 1000
Branch Circuits
Items Cost
Sum
A.
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular. 'Dllelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Con~ractorADT Security Systems or' Relocation:
Address 1501 Pearl Street. Suite B
Ci ty EU2ene. OR
Phone S41-142-UV
Supervisor License Number . 'l4Q JLE
Expiration Date 10/01/96
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.'
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Constr Contr. Number S9944
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expi.ation Date iJ4/?9/97
Signature of Supervising Electrician
V~~
Ollners Name ~rlen ~n~r 'rUe'&( D.
Address q~S ~IJ~,rlrj' ,(eX
CitYr~lrf~J~._Phone 1~.0-4nL)l.
O\INER INSTALLATION
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each' Add i t i onal
. Crr-cui t orvfih'Service
or Feeder Permit
$ 35.00
$ 2.00
. .
'E. Miscellaneous (Service/feeder not included)
-Each ins tallation .
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 ~
The installation is being made on'
property I. .avn 'lIhich is not intended.,
for sale, lease' or rent.
~_~ers Signature:
DATE: -rt1'7)1 q r- .
RECEIPT .:\ 'f\.L,.">j Cf -/
RP.CP.IVF.O IlY: ~ .111.tUC-
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
l!l.OP
1.80
1.08
36...68_