HomeMy WebLinkAboutPermit Electrical 1998-1-22
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Date
225 FIFTH STREET .'
SPBINGPIELD, OREGON 97477 Author!zed ~ ; /l (1/\...
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Gi t.y Job NWIlber /~ t!JtP 6c.-'?
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3 ~ COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
~(!)O C-cP~~~~/~L- <; T . A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/ 7t:Pr3 //:?-c9tP6 tPO
~~ESCRIPTION
tY'f-?r? S'e,ec//c-~_
Items Cost Sum
1000 sQ. ft. or less $ 85.00
Each additional 500 .
. sq. ft or portion
thereof $ 15.00
Each Manuf'd Bome.or .
Modular. 'Dwelling' $ 40.00
Service or Feeder
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.B. Services or Feeders
Installation, Alterations
or Relocation:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or.if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY,
Electrical Contractor Weiland Electrite
Address 870 W~ 2nd So. D
t
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$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Expiration Date 1/1/99 ,
IVt1T~ C. Temporary Services or Feeders
Constr Co~tr. Numbe~J586~E: Installation, Alteration .or Relocation
l/\:) fJE8MIT '
Expira tion Da te 1'l4~_. SHALL eXPIBE IF TH 200 amps' 'aT less . / $ 40.00 ,4/0'.00
('fllA &,;,lJ UNDER TH e ~~mps to 400 amps ' $ 55.00
SI re of uper\Tt$I' ~MtJi!8n IS PeRMIT r~MAt 401 to 600 amps $ 80.00
. h jNYl . y P!iu6nABANDONED FO~'.J~t 600 amps ~r 1000 voJ. ts see "B" above
~ ..., D. Branch Circuits ; .
Ow s Name~t-v'/7 (-<./~}/,..P~ f?'~~ . . . .. .
. //." ' " . .. - New, 'Alteratlon or ExtenSlon Per Panel
Address 9,tJ ff'k/t/. 99"v , '
I
Ci ty bw~e..-v~ . Phone ::)0/'3' - /79'/
City
FI JgeI1p.
Phone Ll~t;.:3.639
Supervisor License Number ~~
OVNER INSTALLATION
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
$.35.00
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$ 2.00
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E. Miscellaneous (Service/feeder not. includ'ed)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I own which is not intended
for sale, lease or rent.
DATE: ----------\~~~ . - r-
RECEIPT I: J).-' 1\ <J.,",~~
RECEIVED BY: ~\t9" ~ 0- V- ,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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Owner~~ignature:
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