HomeMy WebLinkAboutPermit Electrical 1998-2-17
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The ;oii6Wing projed M submitted has iho IcllIowln9
zoning. and UO\iS not require apecIfto kmd use
approval.
Zenina I .f0v
225 FIFTH STREET ~-
SPRINGFIELD, OREGON 9~7 YU
INSPECTION REQUEST: .?.26.,.3.69. () M
OFFICE: 726-3759 _ ~". .... 6lgIllIIUI8 .
1). 1ljctliN Yfi71J1ALrN
Lf'a~T~~N~ ~()OS()O
. A.
JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical ContractorM_, ;_I.d"v-Jr-:t:
Address 0.0. f). ,,<t , I , . ,
CitytJr.\~...;,JIL Phone 7<(C.-,/0'(1
Supervisor License Number :s'~ 'J" S
Expiration Date /0-1 - C; f
ELECTRICAL PERHIT APPLICATION
City Job Number 1'%0/ 7 S
3. COMPLETE FEE SCHEDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sQ.ft. or less
Each additional 500
sQ. ft or portion
thereof
Each Manuf'd Home. or
Modular. .Dvelling.
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
290 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
$ 15.00
$ 40.00
$ 50.00 5/Lf1U
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
- --
Constr Contr. Number C. ~ 00 b
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
~-f3-'1Y'
Signature of Supervising Electrician
jJ-J 12~A..
Ovners Name~t1-. lr..MWh
Address 1.1L/ I rYlarvY
City.!3pri1tJ1dphone 7if7- 7[73'
01lNER I LATION .
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~Signature:
DATE: ;;2- 17- '1 ~
RECEIPT tI: .-l.'iS'b -6 U
RECEIVED BY: ~)
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
."
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Servi~
or. Feeder Permit ~
E.
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Camm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 '-1.00
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
54.00
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