HomeMy WebLinkAboutPermit Electrical 1998-3-24
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approval~onlnp I ,fir \~a1-\ce:. Ey,.?IRfi~\i:' O~.~ .. .... '" ....'.
Date~ \-lIS ?ERWlli S\-If>.LL f\ i\-llS ?ERWlli IS l'lO .
AuthortZed Slgnalure-P- Y\A~. ~'J,,~\lEO \.l\'lOE >l>\f)()\'lEO roR
225 FIFTH STREET ' '~J.' cEO OR IS MiLf.U!UCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 COWlWlEl'l OD q 1 S 1L{
INSPECTION REQUEST: 726-3769 .0.1'1 ~\lO 01'.'< ?EP,I 'Ci ty Job Number / ~
OFFICE: 726-3759 ~..
'. 3. COMPLETE FEE SCHEDULE BELOI/ ~
h LOCATION P'J INSTALLATION r '\"\'
A:)?fl i'f'V" .'.f-atfl3r::;(Il~\ UY . A. New Residential-Single or
. ~ . . 1/763 2-3<f?, U1-C02- Multi-Family per dwelling unit;)
/ ""' LEGAL DES~RIPTION I " / . SerVlce Included: .
V()v.J l.!fY .1Z:l{il~' tU r!2.jl. It> Items Cos Sum
~ 1000 sq.ft. or less
rvt.2 &u((C.f? Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Ser~ica or Feeder
JOB DESCRIPTION
'::::::J.rJ52e(') 5.J'S 7h1V)
\
Permits are non-transferable and exrire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 85.00
$ 15.00
. $ 40. 00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
. ~,~~Installation, Alterations
Electrical Contractor!rt'i> S~:'Slo.c.c or Relocation:
Address ({)7c; JfJ{j(~/PR tdf<-/
CitY~Ll~p:nCPhone :YJr-;-3x:::o
Supervisor License Number lD7,)- &R:1
Expiration Date R-;;17,.. tj'{{
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
ConstI: ContI:. Number nD 7)'051
C. TempoI:aI:Y Services OI: Feeders
Installation, AlteI:ation OI: Relocation
SignatuI:e of S~ervising Electrician
~. )J~,""
L.~ r:2 /" , D. BI:anch CiI:cui ts
Owners Name -z:;j U (0uJiZ b(~
f2 r G f- New AlteI:ation OI: Extension PeI: Panel
Address_ n?:f) fj'f'cv~ltoliJ '?l~ '
nil' ; ':6.t /'~ One CiI:cui t
City CJ,:::\CIV Phone~au.> '-1LLJ1 Each Additional
- \ . Ci I:cui t or wi th SeI:vi ce
OI/NER INSTALLATION or FeedeI: PeI:mit
Expiration Date
A- .--7J -C{q
The installation is being made on
property I own whi~h is not intended
for sale, lease or I:en t.
Owners Signature:
D~~~~==-~-;r:2~-~~-~---~-----~------
RECEIn 11:' , D2"'Y/Q/.
RECEI',TED BY: '1" ~--- _
200 amps' 'OT less
201 amps to 400 amps
OveI: 401 to 600 amps
Over 600 amps or 1000
volt s
$ 40.00
$ 55.00
$ 80.00
see liB"
above
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump OI: iI:rigation
Sign/Outline Lighting
Limi;ed EneI:gy/Res
.Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% AdministI:ative Fee
TOTAL
40.00
40.00
20.00
36.00
..l.J)2..0
S
$
$
$
)0.00
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