HomeMy WebLinkAboutPermit Electrical 1997-8-6
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225 r~rLn STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLl\TION
5b'l"'l MA.~.... <,.h....,.-t
LEGAL DESCRIPTION
\'":l- . ~1'-- - :::''7.. - '1'1.&0/;1, bO
.
JOB DE~CRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
.
Electrical contractor~,ll;~~.~
V '
Address P.o ~l'>)(.. 2..,So3
City 1; "",,,,",,,-, Phone_Q31,~Z3t.')
Supervisor License Number ~~~~
Expiration Date /0.// /99,
Constr Contr. NumbeL" 7..0- /15 t-
Expiration Date lolt /'l=l
, I
SigIJ7 o:~ Electrician
_~tlfl , ~7
Owners Name L--rr,>r
Address -P.('") '?<>x ~O~O
Ci ty 6u...~ Phone -:;1<j 1-(.,/3 'I
OVNER INSTALLATION
, The installation is being made on
property I ovn which is not intended
for sale, lease or rent.
. Owners Signature:
---------------------------------------
DATE: Z,/~/?7
RECEIPT #: '?"t/:'?' 7.'75'
RECEIVED BY: ;;;~
- "
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ~ 7!l ?/ ~
3. COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Suo
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Hodular'Dwelling
Service or Feeder
$ 85.00
$ 15.00
S 40.00
,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
Over 1000 amps/volts
Reconnect Only
$ 50.00 S"'t>fI!?
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit -M $ 2.00 <9$4
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 OF ABOVE " <Jfjo..!!. .
5% State Surcharge 4!l.E
3% Administrative Fee -; -, 2-:;*1-
TOTAL ~- ~.. /05.'1