HomeMy WebLinkAboutPermit Electrical 2001-10-25
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t~e iaJlowlng project es submitted has the following
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225 FIFTH STREET Dale ,.--: ID ;~. 0 \ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 " ' \)'J . In,.I
INSPECTION REQUEST: 11'!!\S'!!~dYg~alu'" ~ vity Job Number ()(-O(077-0 (
OFFICE: 726-3759
1.
LOCATION O~IINSTALLATION
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3. COMPLETE FEE SCHEDULE BELOY
LEGAL DESCRIPTION
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A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
C::Y'O'f D-C:>
JOB DESCRlPTWN
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Permits are non-transferable and expire
if work is nol 'slarted within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Elec t r i cal Con t rac tor J3.ui1 riFf'S E],:c},-,( h~ C
Addl'ess IQS (,1nC\r'c;Dn
Ci tyf.'( )G\PYl.e_DI)~ Phone
.J
Supervisor License Number
4"i'S-09d-;;;l
3) QO-s
Expiration Date 10-1 - 0 J
Constr Contr, Number 4';;).Q lP
Expiration Date I?-ID-O~
~ign e of Supervising Electrician
I d' fi
1
Owners Name Bill S "KOlern
Add ress
City Phone
OYNER INSTALLATION
The installation is being made on E.
property I own whi~h is not intended
for sale, lease or rent,
Owners Signature:
DATE~==-~-~~~~(-----------;-~~~~.
RECEIn If: / 7 v er-;::::r
RECEIVED BY: i )rS /'
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
B.
Services'or Feeders
Installation, Alterations
or Relocation:
Items Cost
200 amps or less ~
201 amps to 400 amps
401 amps to 600 amps
601 am~s to' 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
Sum
$ 85,00
$ 15,00
,$ 40.00
b>
$ 50,00 ,~
$ 60,00 ~
$100,00 '
$130.00
$300,00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' '01' less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40,00
$ 55.00
$ 80,00
volts see l'Bll above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2,00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20,00
$ 36,00
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