HomeMy WebLinkAboutPermit Electrical 1998-4-13 (2)
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor(~~tU ~11~j ~(~<.f~('c...
Address p.o. B<:x 'Jd~c!)( ~
Ci ty f,c.,'(::/-lA.t!.../ cRcr7<ld).. Phone SSt.; -(;3~ (
Supel-visor License Number 3~ ;;;.y-s
Expiration Date /L?;lSI~
(
Constr Contr. Number 0;5/1/0
Expiration Date ~~
Signature of Supervising Electrician
tt)A~ A ~__ h:-
own;rs NameC~?~)('J\ 6'I'o~
,0
Addressj~~~8 I J{{QOll 0.R voLfd
Ci ty$1' I Phone'14 (0 ~~i-ro
{' INSTALLATION
C.
D.
The installation is being made on
property I own which is not intended
for sale. lease or rent.
E.
Owners Signature:
r
-----------~-, --- -fnt---------------
DATE: . \
RECEIPT'#: '1L
RECEIVED "BY: --:/' - fJ!liI./\__
5.
S.rIELD
I
.,
Services or Feeders
.' . . I
Installation, Alterations
or Relocation: I
I
200 amps or less
201'amps to 40Q amps
401 amps to, 600 amps (
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only:
,
,
Sum
$ 85.00
,,-$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00 J DO
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
I
200 amps"oT le~s
201 amps to 400 amps
Over 401 to 600 amps -
Over'600 amps 9r 1000 volts
I
Branch Circuits
I
I
$ 40.00
$ 55.00
$ 80.00
see "B" above
..,
I
AUtnVll"'~ I:::>I91lalure-f) rYJ :
225 FIFTH STREET 1'\CE: ' ~ \~ \~~ y.JCB~CTRIC~ PERMIT APPLICATION
SPRINGFIELD, OREGON 97 4ltO , . LL E.'A?\?\ 5 NO\ I fA -r \ J -:?-..
INSPECTION REQUEST: 726-r~~RWI" 5\-\N r:R 1\-\\5 ?E.RWI\\ \ Ci ty Job ~umber q \ '1\o.J
OFFICE: 726-3759 ' IE.O UNO~ ('\~E.O fOR I .
, ~U\\-\OR\ 0 OR \5 ~e:&.tiO"COMPLETE FEE SCHEDULE BELOV
1. #) W~TIO,l\ 9F INSTAt.LA;tC~tJtE.NCE \) ,
t"1SJ1Dll ~OX\\AltW _,,~ n~~ pE.R\O. 'A. New Residential-Single or
. . ~N'( \.J. Mul ti-Family per dwelling unit.
LEGAL/DESCRIPTION Service Included:
(1()cG'?> j,/ 03100 Items Cost
, I
"-
~OB DESCRIPTI~ -r~ 1000 sq.ft. or Iless
, ) --t'" ry n {I} A r 1 LVV ) Each addi tional 500
- - - sq. ft or portion
I
Permits are non-transferable and expire thereof :
if work is not' started within 180 days Each Manuf'd Home. or
of issuance or if wotk is suspended for Modular'Dwell~ng
180 days. Service or Feeder
, ,.
New, Alteration or Extension Per Panel
,
,
!
One Circuit
Each Additional
Circuit or wi~h servi~O
or Feeder Permit '[ $
I
$ 35.00
2.00
140
not included)
Miscellaneous (Service/feeder
-Each installa~ion
Pump or irriga~ion
Sign/Outline Lighting
Limited Energy/Res
Limited EnergyVComm
I
SUBTOTAL OF ABOVE
5% State Surch~rge
3% Administrat;ive Fee
TOTAL I
$ 40.00
$ 40.00 .
$ 20.00
$ 36.00
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