HomeMy WebLinkAboutPermit Electrical 1998-12-04ST'1:rtN(;F IELT-)
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ELECTRICAL PBRHIT APPLICATION
225 FIFTE STREET ^-.At$ffid
SPRINGFIELD, OREGON 9I4I I
iNiilAroN nnoussr z 726'376e
oFPrcE; 726-3759
grnrrr f(,r.) "..._Job Number /4 7v
3 COHPLETE FEE SCBEDULE BELOV
1 LOCATI Nev Residential-S
Multi-FamilY Per
Service Included:
1000 sq TtsE.WOBtOess
Each addition
sq. ft or Po
thereo f
Ot. s00
rt10n
Permits are no n- t rans ferable and exPlre
if vork is not started vi thi n L80 daYs
of issuance or if vork is su spended for
180 daYs.
Z. CONTRACTOR INSTALI-.ATION ONLY
Elecrrical con ttactor {h5ls/p€ €L€C'IttC'
Address b t 293 bOK,frG€ 1fi,
Ci ty 5r€(p Pho ne -?! l^ /Yqq
Supervisor License Number 3S lV 5
Expiration Date 0-- ol
Constr Contr. Number I 70
Expiration Date O--11 tn
You
t of Supervising Electrician
ingle or
dwelling
I tems
Each Manuf'd Home or
Modular 'Dve1ling
SerVice or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amPs
--
401 amps to 600 amps
-
601 amps to L000 amps-
Over 1000 amPs/volts
-
Reconnect 0n1Y
ede
or
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
A
I,EGAL PTION
7 o
JOB DESCRIPTION
d
unit.
Cos t
$ 8s.00
s 40.00
Sum
o A
B
s
s -6-eD60.00
w
callingthe
numberfor
$100.00
s130.00
s300.00
s 40.00
rs
Reloca t i on
s 40.00
$ ss.00
$ 80.00
see "Bil aEiliil
00
00
00
00
tvners Name
S rr7c,
ty Spnucr t t: z^ / Aphone
OVNER INSTALLATION
r installation is being made on
perty I ovn vhiih is not intended
sale, lease or rent.
rrs Signature:
Cen
Nev, Alteration or Exter'sion Per Panel
one Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation _Sign/Out1ine Lighting_
Limited Energy/Res
Limi ted Energy/Comm
5a.r o
z-) o
/.ia
$40
$40
s20
$36
5
VED D
/L qe
t ?.dt)
D
Center.Those set forth
$ 1s.00
follow
Cnt'i R r*r,