HomeMy WebLinkAboutPermit Electrical 1998-3-9
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225 FIF1'I'Jt .,..-......l1nature_ f) M ~'::\ O~ Vto ~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477' ~. '0' ,~'9.: .
INSPECTION REQUEST: 726-3769 %Q "9'<9_ ~ ~ Ci ty Job Number Cf<r, 0 I ~ 3
OFFICE: 726-3759 ' ..,.~ ~ /J
. ~~.~~_LETE FEE SCHEDULE BELOV
1. LOCATlON OF INSTALLATION ~ r -~
37'52- /IfTcttllfflOI'lJi'( cr 51';t;,y4fil(~'1:>.{\&.K~idential-Single or
Oil. (54/2 7'-r/-lIVlj" :r:iluI~-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/7 D3 Ie:, 6Dh 1/03
.
JOB DESCR!PTION E LEer/? (/" /f /
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Permits are non-transferable and expire
if work is not started within 180 days
..of issuance or if wo~k is suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor SEf.f [.Uc.71f1(
Address L I 2.. 15' Sl 5'TcJdE.. /2 b, .
City OJdlfS-Hlft1 Phon.f?v3) bt3- '10/~
sU'1r~/3-o9 g~Cse Number 43 K" ~ 5
Expiration Date 10.-/- 9$?
CO:1str Contr. Number 12 75 ~ /
Expiration Date l/ '2.. /ZOcJU
Signature of !pe:ising Electrician
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Owners Name Mo Hdl.p
Address 375;;>. '1.n.~V\o..J..;o-AcUL
Ci ty5r(; ^9~ tJ> d Phone'
OVNER INSTALLATION.
~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: 3 -"1- 9 <{
RECEIPT 11: , :.4,cJ(J-3('"
RECEIVED BY: '\dD
It ems 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 'Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to. 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see liB" above
D. Branch Circuits
New, Alteration or Extension Per Panel
"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Add i ti OIial
Circuit or with Service
or Feeder Permit I~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 35. -
$ 2.00 f:;;,{pQ, -
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
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