HomeMy WebLinkAboutPermit Electrical 1997-12-24
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Dale//... ~ 2-t{.:.Jn NOTICE:
Aulhortzod Signature 0 rI\ THIS PERMIT SHALL EXPIRE IF THE WORK
225 FIFTH STREET AUTHORIZED UNDER THIS PERMIT IS N01!LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97/J.:rZ ' q r/
INSPECTION REQUEST: 'r2Wl~9~~ED OR IS ABANDONED FOR Ci ty Job Number 7// ;J- (S
OFFICE: 726-3759 ANY 180 f1.....v PERIOD,
1. ).QC~TIO~ Of, INSTALLATION
"tV/'? /fICf'a JU~ ~ 1-
. LEGAL DESCRIPTIQ~
II n<. d~ '-It.-I (,)&70 u
JOB DESCRIPTIOt{ ,..- /? =.
qr~ {.J.f'eu)1 ILL
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~~5 11/ f1~
Address QLf2.- OUl/t.. ~1
Ci tyfiEUre(J'J'f; PhoneYlc{ f?2R7
Supervisor License Number
Expiration Date
Constr Contr. Number 0/4-/5
Expiration Date / /;z.,/q q
o -
Signature of Supervising Electrician
Owners Name (!J'1'UIG6 OCf} lfa~
Address /J1CfJ3rJ1.!G {)eESI Dk(
Ci ty 5f/2lJ/rofreL..b Phone
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
~AiE~-!.7::~~~~:fi7------------------
RECEIPT 11: \)rD.5'-J,4t /'
RECEIVED BY:rJ ./JlCI..-e./LtLtL,<-J
COMPLETE FEE SCHEDULE BELOW
New Residential-Single or ~
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
3.
A.
" 1000 sq. f t. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder $ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
/
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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