HomeMy WebLinkAboutPermit Electrical 1998-5-28
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~O\\C~: S\,\r>-\.\. 'C.'i-\'It\'C.:'C.t\,,^li IS ~ ~
225 FIFTH STREET i\'\IS \''C.I',,^I\D \l~D'C.t\ i\'\I:\DO~'C.D ~CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477" \,\Ot\I7.'e IS r>-er>-\' fl" 00 a ( _
INSPECTION REQUEST: 726-3W ..'C.~C'C.DOt\ 0 City Job Number ......, T> L -t \...f/
OFFICE: 726-3759 CO~\" \''C.t\IO . ~'
~'I \'O()Or>-'I 3. COHPLETE FEE SCHEDULE BELOII,
1. LO,g:U.ott OF :W,STALLATIwf.'
L..:> ) {/ {YlQrh ~tvIL-r A. New ~tial-Single or . " '
T',. fo'lowing proleC188 8Ubmllled.~;r;&;amTly per dwelling uni t. ,
I ~ ~s.c,Rlt/lIp1:!? I''h.:~ and does not ~UI,re 8~e~ce Included: "
.4...t-.(Jf-.l ~t.I yu (;(."~~. , Items Cost Sum
; Zon! ~ ' .
JOB DESCRIFTION " " 1000 sq. ft. or less $ 85.00
Alarm Installation Dote . Each addi tional 500
\ .' ',JSlgn8IU"'_(\ (V\ ~,~_/~.. ,.ortion
Permits are non-transfera~'te'and expire thereof $ 15.00
if work is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Hodular 'Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorADT Securitv Svstems or Relocation:
Address 150l Pearl Strp:et. Suite B
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
Ci ty EUQene. OR
Phone 541-142-]111
Supervisor License Number . C!4Q .TLE
Expiration Date 10/01/96
Constr Contr. Number ~9944
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or'Feeders
Installation, Alteration or Relocation
Expiration Date 04/29/97
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100U
Signature of Supervising Electrician
~~ ~.-:--~,
Owners Name :rf}~"'A/1?~ ~t!S.
Address 5'71/ /YJ,4r>> ST
Ci ty ~f?r./',,,J?' c /d Phone()07) l-NS JjW/
O\INER INSTALLATION
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
The installation is being made on
property I own which is not intended
for sale, lease or rent.
$ 35.00
$ 2.00
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 :lli..O.ll.
Owners Signature:
DATE~-------~~----t'?-~-------
RECEIPT lI: . IrfJ:!Y...
RECEIVED BY: ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
36.00
1.80
1.08
38.88