HomeMy WebLinkAboutPermit Electrical 1997-12-16
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DatJ~1 jljOTlCE:
AutI21S'''r~1101'D"rSrn&M THIS PERMIT SHAll EXPIRE ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGOlMJU~Fl~ IF THE WORK q . / L(/
INSPECTION REQUESTtOM~~N'dE/NDER THIS PERMIT IS NOT City Job Number I &,~6
OFFICE: 726-3759 CEO OR IS ABANDON
1. LOCATION OF 'rN~~XiffT%~PERIOo, Ei>.FOaoHPLETE FEE SCHEDULE BELOII
7.7 77 ,111 C/ffoA/2/fO,t{t..<.<A . A. New Residential-Single or ~
Mul t~-Family per dwelling uni t., ,
LEGAL DESCRIPTION SerVlce Included: '
1,0)- 3<.P ~OO 1/ aV Items Cos t Sum
JOB DES<;NPTION
~ cA'O{!..l.-u.'fs
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
Electrical Contractor ;>~
Address_7 7 Cj' '}-e...N (#-n}/~ ,~ '
City
Phone
Supervisor License Number
Expiration Date
1000 sQ.ft, or less
Each additional 500
SQ. ft or portion
thereof
Each Manuf'd Home. or
Hodular'Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
$ 85.00
$ 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
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Nameffi..€MttAl tJMd ~ls;~ T'n1.k:J.
Address~?' A M.[Krkl?~ JJ"'-7
City y')/ /Al) (I ~ t( Phone ttf (, --.3/(S
01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE;JJ-~::7Z;-;-~~-------------------
RECEIP'l' i: Uo-'(, aIrI. .
RECEIVED BY: f) . mkCN-tl 0
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
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 liB" above
.'
Extension Per Panel lJO
I $ 35.00 ,~5.
. -u-e>
$ 2.00 ";;).
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
New, Alteration or
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit J
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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