HomeMy WebLinkAboutPermit Electrical 1997-6-10
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9 7i4J.17orlz&d Sinnet "
726-3769. o.re, "~
2. CONTRACTOR INSTALLATION ONLY
Electrical Contract'\:::AlOi, flQ~
Addr~s \a,,~[) ?......<(2,-\-V'\ d /' 200 amps or less -:z $ 50.00 /.t>a
CitiJ~rL Phone\4I-12B zgi ::~~ ~~, ~gg ::~~ ~l~g:gg
\ \ ~\Q ..~ 601 amps to 1000 amps $130.00
Superviso VLicense Number ~~-\\ } ~~Over 1000 amps/volts $300.00
\.D. \ . ~ Reconnect Only $ 40.00
Expiration Date
ll'\." C. Temporary Services or Feeders
Constr Contr. Number 'ri" . Installation, Alteration or Relocation
EXliration Date <~.;:}..~ 200 amps"or less $ 40.00
\ 201 amps to 400 amps $ 55.00
\.Si Ratlf~ J/~:;rV;~n; ~lectrician Over 401 to 600 amps $ 80.00
'~~~~ Over 600 amps or 1000 volts see "B" above
LY/" ',/1 {\ D Branch Circui ts
o :ers Name '('\I_l~\-\~. ~fS()nfl~ .
A dress-3~", ~\O(\ \0 ~~
Ci ty _f.l 'X\too- Phone 4~S' \"N:f)
OVNER IDsTALLATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
3.
1. ct~~TI~?\\W~till1\(\\{~A.
\ IkGAL DESCRIPTION \ \ n
\\)-:1.,\~nn n~\\ I
. - -
\ JOIl DE~
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Permits are non-tran
if ~ork is not starte
of issuance or if ~ork
180 days.
rj~ ~~QX0
~ithin 180 days
is suspended for
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
~ -~.~ ?
-;z.k ~? ~
r/j~.
DATE:
RECEIPT jI:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C\l ()~~~
-.. '____1
COMPLETE FEE SCHEDULE BELOY
Ne~ Residential-Single or
, Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'D~elling
Service or Feeder $ 40.00
,B.
Services or Feeders
Installation, Alterations
or Reloca t ion:
"
Ne~, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit ~~
$ 35.00
2.00
~
$
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/ lAt? or:at9>
7. ,...
4'.~
/?l~'2~
I~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.