HomeMy WebLinkAboutPermit Electrical 1997-04-07S NGFI€LO
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LDe225 FIFTE STREET 'LJ---l-r- -SPRINGFIELD, OR-EGON 974]7 ./ . . / .N
N-uINSPECTTON REOUEST: 726-3769
OFFTCE: 726-3759
1. LOCATION OF INSTALLATI 0N
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I^EGAL DESCRTPTTON11O) .<I 41 9]-te<:
JOB DESCRIPTION
Permits are non-transferable and expireif vork is not started vithin 180 days
of issuance or if vork is suspended for
LBO days.
2. CONTRACTOR INSTALI,.ATTON ONLY
Electrica] Contractor
Address
cit Phone
Supervisor License Number
ELECTRICAL PERHTT APPLICffiM
City Job Number ?toq 77
COHPI;ETE FEE SCEEDULE BELOV
Nev Residential-Single or
l'Iul-ti-Family per dvelling uni t
Service Included:
I tems Cos t
s 8s.00
3
A
Sum
Expiration Dat
Ovners N,CA l,*/D.
ft ra-
s 1s.00
B
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
Services or Feeders
Instal-lation, Alterations
or Relocation:
200 amps or less "/-
201 amps to 400 amps
-401 amps to 600 amps _60L amps to 1000 amps-
0ver 1000 amps/volts
-
s 40.00
50 fa,n60.
100.
130.
300.
40.
)
s
s
$(
s
00
00
00
00
00
00
C Temporary Services or Feeders
Installation, Alteration or Relocation""^"r.2u{ Number
Signature of Supervising Electrician
Expiration Date 200 amps"or l-ess $ 40.00
0ver 401 to 600 amps $ 80.00
Over 600 amps or 1000-vofTs see rrBrr aEovle
Branch Circuits
Address ?ltZ K (n/man
cir ,non. 3q'l - iSQ8
OVNER
The installation is being made on
property I ovn vhich is not intended
for sa1e, lease or rent.
SI ignat
Nev, Alteration or Extension 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 S
Sign/Out1-ine Lighting- $
Limited Energy/Res $Limited Energy/Comm $
40.00
40.00
20.00
36.00
5. SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECETVED
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