HomeMy WebLinkAboutPermit Electrical 1997-6-12
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OlPRI.IELD
The loll owing project as submitted hes th
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225 FIFTlI STRJ::ET Dcte [I l,.z.. Of:1
SPRINGFIELD, OREGON 97477 1\
INSPECTION REQUEST: 726-3761.1uthor\zoo Slgmllu:e_ M
OFFICE: 726-3759
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ELECTRICAL PERlUT Al'PLICATION
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COMPLETE FEE SCHEDULE BELOV
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New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cas t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
. sq.. it or portion
thereof $ 15.00
Each Manuf'd Horne. or
Modular 'Dwelling
Service or Feeder $ 40.00
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
~_ Services or Feeders
Installation, Alterations
or Relocation:
Electrical ContractorSecureCom,lnc
Address 1126 Gateway Loop. Suite 122,
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Rec.onnec:::[ Only
Ci ty Springfield
Phone 988-3585
Supervisor license Number 794JLE
Expiration Dace 10/01/99
Constr Contr. Number3-353CLE
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c~ Tempo~ary Services or Feeders
Installation, Alteration or Relocation
~ -;;rr --r -.....
("'l/,,\c1rOCr':\'c.. I\~ _D. Br!l!!s.!J Circuits
Owners Namel-'l""U Ill.. rr L...C. HUIU('(\f\TI UI "\
Addresftc9\ \{\\f::.~l\~T'c<\PtLu.J'f.~ew, Alteration or Extension Per Panel
, (){1 .f'\I-r. 0 One Circuit $ 35.00
Ci tY'"1t'V'\l1 ur\ r:L! Phone Each Addi t ional
- Circui t or wi th Service
OVNER INSTALLATION or Feeder Permit
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
LilDited Energy/CoIDID \ $ 36-00 ~,c()
5. SUBTOTAL OF ABOVE t 1:Jl.P. CO
5% State Surcharge I. ~6
3% Administrative Fee I. 013 _
TOTAL ~ <&. "t.~
Expiration Date 10/01/97
200 amps"or less
201 amps to 400 amps
Over 401 to 600 alDps
Over 600 amps or 1000
Signature of Supervising Electrician
The installation is being made on
property I own which is not intended
for sale " lease or ren t.
Owners Signature:
----------------------~
DATE:_ ~Y<-"2;:>
"""""'....n '''_ 7~/e;,~
RECEIVED BY: . ~
.
volts
$ 40.00
$ 55.00
$ 80.00
see "B'l
aliOVe
$
2.00