HomeMy WebLinkAboutPermit Electrical 1997-8-1
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477 ,
726-3769
1. LOCATION OF INSTALLATION
5~ 99 IJ?lh" Sf
LEGAL DESCRIPTION
1--7 0 ~ 33 Lj t-j 0/300
JOB DESCRIPTION ~ "
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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 Urf/fzElemlc
Address a~&.~Co (I,p,&,R.).J, //S
Ci ty1 L:ecu,cu-J--l:h.ll Phone.J.;J (" - ()(p S1
Supervisor License Number 34 q;; S
/D/; /9 g
Constr Contr. Number '1<41." '19
Expiration Date ~~~
Expiration Date
3. COMPLETE FEE SCHEDULE BELOI/
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Sum
$ 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
Signature of Supervising Electrician
~~;b-
. ~ D.
Owners NamtfAnP T~d ~hK t-
Address . O. .f)t:J \( ,
Ci tyr;;L.cA.~ 0 iZPhone 7 q / ' U 13 c..j
!J
OI/NER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------~----------------~--------------
DATE:-2:" L: 57_ '
RECEIPT II:U.L.U7 '1'4'0 ,
RECEIVED BY: n fY) tJ,C-Aatt.o
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Cireui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
_ 0"
3~-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OP ABOVE 35 ca.
5% S ta te Surcharge J . 7 S
TOTAL I. oc:;
$
2.00
'37.80