HomeMy WebLinkAboutPermit Electrical 1995-12-11
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97477 ~pprO<OI~'::,:~~r~ - ELECTRICAL PERHIqT SAPPLl1 ~A~I50N I '
726-3wae~ /) /l() 'i L:t JOb Number -, ~~
, ad SlgnalUf8-t- L '
P.ulhon% 3. COHPLETE FEE SCHEDULE BELOV
1. j.OCATION OF I~ljT,ALLAT~ON G t
"1' /4 ~k"elA?::'je lfP,<:;_ A. New Residential-Single or ; ,,' '
Multi-Family per dwelling unit. .
I; ~~ D2..~PT~O l t:5D '5 ' Service Included: Items Cost
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
JOB DESCRIP'tION
C;i.."",t'\ (.J"'C:::I."\'~
Permits are non-transferable and expire
if work is not started wi thin' 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor [?rQ.J-c'-.rcf~ H,'t.'
Address 'fLf d
, CityF I.A j'" A.p
Supervisor License
Expiration Date
Constr Contr. Number Co 74-( .'::>
nL I V C
Phone "3 If Lf- 92 g ?
Number
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dwelling
Service or Feeder
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
Sum
$ 85.00
S 15.00
$ 40.00
$ 50.00 "
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Si:ib;:i72ctrirbn ~
.
Owners Name f21A. fu ve 'I lJ .~
Address . S ~?? /rr\/e.y PI. f)'1-
City~tA!~ Phone-3-q~-5'-Lr;,
OVNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~1-2:;1-i-;t[::5~---~---------------
RECEIPT #: U 1'1 t t> tJ
RECEIVED BY: r--:> ' (VI. ~CAol.Q ,
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
I
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 Lighting $ 40.00
Limited Energy/Res $ 20.00 Y
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE '@-o _ 6V
5% State Surcharge I ,6'0
3% Administrative Fee . (po
TOTAL '7 I . (~o