HomeMy WebLinkAboutPermit Electrical 1998-1-12
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DEYt/;;Rt~(!!Pl:vES DEPARTMEffiiS PERMIT SHALL EXPIRE IF T
Dale /-:1 ~-5 i---" . AUTHORIZED UNDER THIS PERMIT IS NOT
Author1zod Signature (\ nA :
225 FIFTH STREtJI-'-,-\-
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726.3753
FAX (541) 726.3689
COMMENCED OR IS ABANDONED FOR
Atff 180 DAY PERIOD. ELECTRICAL PERMIT. APPLICATION
. City Job Number 97/5 J-L/
1. LOCATION OF ~STALLATION .
It-qo m".If Q IY\l~ \ (l r\.urt IJ1u I \-e J
/ f8PJ:l~?fftfJoo:J-
JOB DESCRI~)ON .
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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 B.
Electrical Contractor~t,<:18~~t~1 II \.~.
, )
Address P.O. ~ /481--.,
.,
city~~ld J. Phone '1/f/-:J..1..8?'
Supervisor L1cense Number I b8fo S
Expiration Date I b - 1- q &
Constr Contr. Number 3!1ifq
~-I-q'g
Expiration Date
s~ature of Supervising Electrician
(;]~~~
., /p" D.
Owners Name .iliJ I, ~.l
Address..J I '1 ~ ')~ rUlQ.
Ci tN, r r\J .~~, _Phone '1 ~1- 931,0
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~:-:Ttj~!dl-:~~~~~------------
RECEIVED BY: y...1 Vi ~
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3.
COMPLETE FEE SCHEDULE BELOII ~ .
New Residential-Single or' .
H.H1~F.,lly F'" dvolli"" .,i.. ; '1...
Service Included: ~
Items Cos t Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service_or Feeder
$ 85.00
$ 15.00
$.40.00. ........_
Services or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less ~
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00 40,OD
$ 55.00
$ 80.00
see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Jr). 00
5% S ta te Surcharge 1 , on
3% Administrative Fee I. ~
TOTAL lfll. ~