HomeMy WebLinkAboutPermit Electrical 1997-01-08S, -.|NGFIELC,
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SPRTNGFTELD, oREGoN 97477;
INSPECf,ION REQLIEST: 726-.
OFFICE: 726-3759
].. LOCATION OT INSTAII.,ATIONl?z{ 7u61fty-g
LEGAI DESCRT q)61J
JOB DE PTION
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTAILATTON ONLY
Address 3?23 cendLlL ftL
ci EuC>qt<Phone bAA i?8S
Supervisor License Number ?&cB S
Expiration Date to/ t,/?8
constr contr. Number /o3El7
Expiration Date d r ?
Signature of. Supervising Electrician
0vners Name
Address e 14 4 tto
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Phone
bttOIINER INST
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
Ovners Signature:
DATE:
ELECTRICAL PERHIT APPLICATION
ty Job Number 9 Tncs /q
COHPLETE FEE SCMDI.II.E BELOV
Nev Residential-Single or
MuIti-Family per dvelling unit.
Service fncluded:
I t erns Cos t
1_000 -"q.ft. cr }ess
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
iw
EoiJ Signeture-h_1
3769
3
A
Sum
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect OnIy
s s0.00
s 60.00
s100.00
s130. 00
s300.00
s 40.00
C Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
^y
E
-Each installation
Pump or irrigation
Sign/Outline Lighting-
Limi ted Energy/Res
Limi ted Energy/Comm
$ 40.00
s 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
200 amps''or less $ 40.00
201 amps to 400 amps
-
$ 55.00
over 401 to 600 amps
-
$ 80.00
over 600 amps ot- 1000-voiTs see r?E?? aE6tE-
ci
Nev, Alteration or Extension Per Panel
*$ 3s.oo s5.@
Each Additional
Circuit or vith Servicq r'.J 67)
or Feeder Permi t ia I $ 2.OO >-q---
Miscellaneous (Service/feeder not included)
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RECETVED B
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.8. Services or Feeders
Installation, Alterations
or Relocation:Electrical Contractor k J^ ttu Exc
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