HomeMy WebLinkAboutPermit Electrical 1996-11-4
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225 FIFTH STREET "i';."'>' "~o. "if I J) fL-. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ,: ,J-jiJ1j!llt? 'A.
~~~i~~IO~2~~~~T: 726-~~~:~"woSignatur8 ~ -m 1l;v3ty Job Number I~/r ,/13
1, LOCATION OF INSTALLATlpN 3. COMPLETE FEE SCHEDULE BELOY ~*~~.."
5"3 35" ~df-r.,? 7r /7 2- A. New Residential-Single or '\
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
J7D 2. 3 3 t":r~ A/3b'1J Items Cost Sum
;
JO#SCRIPTION
.IJ1. . Q,;v~ /t?>. )
Permits'are non-transferable Bnd expire
jf work is not started within 180 days
of issuance or if york is suspended for
1BO days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ABLE ELECTRIC
r
Address 5511 MAIN
Ci t')1 . SPRINGFIELD Phone 726-6701
Supervisor License Number 3023S
Expiration Date 10-1-95
Constr ContI'. Number 92506
Expiration Date
7-16-95
Signature of Supervising Electrician
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Ovners Name
C:lW.D 1- AII') r I<. -< ) A
Address
Ci ty Phone V~ -5/r'?
OYNER INSTALLATION
The installation is being made on
property I own vhich is not intended
[or sale, lease or rent,
Ovners Signature:
----------------//1-/-~---------------
DATE: It) ~//6> .
RECEIPT n: '2..1 L.I!! "f-
RF.CEIVED ny: ...:;-" ~~I_
1000 sq,ft, or less ~ B5,00
Each additional 500
sq. ft or portion
thereof $ 15,00
Each Manuf'd Home or
Modular Dwelling ~~
Service or Feeder -1_ $ 40. 00 ~:t::!::::!_!D-o
B. 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
Oyer 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 liB" 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
no t included)
$ 40,00
$ 40,00
$ 20.00
$ 36,00
ig;:
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