HomeMy WebLinkAboutPermit Electrical 1999-9-3
ELECTRICAL PERMIT ~llI<f'TION
City Job Number lJ\~ \ ~~
() ::.31":'COMPLETE FEE SCHEDULE BELO\l *
_.t 00- c:
::)::::-oUJQ)o
~5~~@~~sidential-single or
V) !3 QJ 0) Mul:ti?Family per d",elling un. it. ~ '
\.RG~If.~S~IW '~ii3'm~ ~~\rfc~~Included:
l\rv.I)-:h..-~ _ 0'0 if! 0'0 Q; Z ;$; Items Cas t
. - ~m~~~~b~
..... C) (T) ....::: .'
-lOB DE\~P~~~ ~$ <ll6'rtOO.Q5SQ,.ft. or less
.r\~ h 1 , l ~ -. E gJ 1: $~h=.rddi tional 500
--1.\ _ )"Q.c.::- -.......of' ,
. J) Q, l- 0,;: sq '::>;, t or parDon
Permits are non-transferable and e ireS. iii (5 ~ t:.h~r.~cof
if ",ark is not started ",ithin 180 day~ g C 9 cEach1Manuf'd Home. or
of issuance or if ",ark is suspended fir;;; c3 8 iU' R'od'u.~arD"'elling
180 days. ~ .!!? c:: c\i E .Servdce or Feeder
,.> :::J C U') .::J .- -- "".
-'-~Q)oO)'-""'"
"ls'" ;,:;.-QJ
2. CONTRACTOR INSTALLATION ONLY - 0 '.),B~ ,Ser.,yices or Feeders
-==..."::o.:to~jo..; l' ,
. /iI /J..{ ''2 'go Cl) ~s~ta lanon, Alteratlons
Electrical Contractor~~.v~7';.JJ..u{OLF ~~ or <Relocation:
/Zo.8"x 1(( .
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
225 FIFTH STREET
SPRINGFIELD, OREGON.97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Address
amps or less
amps to 400 amps
Ci tyw."J("-./.;. (( D
7 y(r(c:,'I P
339-CS
Phone
i
Supervisor License Number
Expiration Date Co&> ,/0 ( / 0 I
Cons t r Con t r. Number "Z.o. -z.n c...
Expiration Date
/0/"" I" ,
I
City
Phone
O\INER INSTALLATION
The installation is being made on
property I o"'n ",hich is not intended
for sale, lease or rent.
E.
Ovners Signature:
!i!jj;;'::~::--j;~~;~~
01JJJ.-
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Sum
$ 85.00
$ 15.00
. $ 40.00
\
'5ofl>
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
volts see liB" above
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.t:1D .CX?
.~.50
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