HomeMy WebLinkAboutPermit Electrical 1998-5-28
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D.leS)zr; k!'Y NOTICE: HALL EXPIRE I!'THE WORK
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225 FIF~jj1h~~nature-1lY\1 \Y.TI--lORIZED UNDER lHIS P~~C'lJUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477' ORIS A6ANDONED FUH '1'17 /1>/.//___
INSPECTION REQUEST: 726-3769 COMMENCED Ci ty Job Number [~ Vf 77
OFFICE: 726-3759 ~NY180DAYPERIOD, ~
~ ,,' ,_{) . 3. COMPLETE FEE SCHEDULE BELOY
~YON 1k IN;l~~!::;,~O~ A. Ne", Residential-Single or
~ Multi-Family per d",elling unit. '
/ 70'3 DJ9f.Rfl10() lfq 00 Service Included:
~
J,O~SCRIPTION
J'/ 17 \;-fNW-m.
""
Permits are non-transferable and expire
if "'ork is not started ",ithin 180 days
of issuance or if ",ork is suspended for
180 days,
Items
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'D",elling
Service or Feeder
Cost
Sum
'$ 85.00
$ 15,00
,$ 40.00
2. CONTRACTOR INSTALLATION ONLY ~. Services or Feeders
I? .~;t/!~)7 Installation, Alterations
Electrical Contracto~~~ Tt4~ or Relocation:
,Address .to" ;j~ij'lt . 200 amps or less
CitY~ Phone "r'1ft?~'i/ ~gi :~~~ ~~, ~gg :~~~
. 601 amps to 1000 amps
Supervisor License Number 'Over 1000 amps/volts
Reconnect Only
Expiration Date
Cons tr Con t r, Number _? If .Cf4-iJ
Expiration Date f - /i{ - 9~
O",ners Name
The installation is being made on
property I o",n ",hich is not intended
for ~ale, leas2 or rent,
Ovners Signature:
;~T~~------~~~1cz~-----------------~
RECEIPT #~ 12i r;()2J
RECEIVED BY: ~
$ 50,00
$ 60.00
$100.00
$130,00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
One Circuit
Each Additional
Circuit or ",ith Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
see "B"
above
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
'~ Over 600 amps or 1000 vol ts
ap-(~/f.)~~Branch Circuits
Sf A C- ~h II i--- ~ Ne"" Alteracion or Extension Per Panel
Address ~ ~ ~ ~
City fU.C/l hi _Phone tjt{t/-()()7D
0I<NER/INSTALLATION
.'
$ 35,00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ .40.00
Limited Energy/Res ~ $ 20.00 ~)~()
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE 20,00
5% State Surcharge J . ()tI
3% Administrative Fee ' I~
TOTAL "L..I,(~()