HomeMy WebLinkAboutPermit Electrical 1998-5-15
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SaGFIELD
Zoni"l1 CL
n..,.~ NOTICE' .
225 Ftlff7~.c~1"'" (\YlI\:' ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 4 'jjil~ ,PERMIT SHALL EXPIRE IF THE WORK '
INSPECTION REQUEST: 72!>:t:i3'?~~IZEDUNDERTHISPERMITIS~j,fY Job Number CffOJ;).1
OFFICE: 726-3759 u. ~'
COMMENCED OR IS A8AIllDO~TE FEE SCHEDULE BELOY .
L LOCATION OF INST~LA:w>NlO DAY PERIOD
'570 '5 ~ ' . ,A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included: .
I, 02- <33 t.l, 6? cf. ()"{) Items Cost Sum
JOB DESCRIPTION
Permits are non~tran~ferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
,$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
. ~ ~/ Installation, Alterations
Electrica-l Contractor I.rr..,,/ 6.".-/:' ,::... or Relocation:
Address j? 0- /}Oy 311.5
City CJ"_~..v",,!/Phone <1' ~2. Z Z b 8
Supervisor License Number I tr'1 - 5'
Expiration Date /~// /9' 17
Constr Contr. Number t 7 ?;r/
0/p~'
Signature of Supervising Electrician
,
/_6,V~~
Owner~ Name 4-nA-v\ "rrln'/71...;/ro...('V'''- D.
Expiration Date
Address
City Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: l? - ,<'"--4 q
RECEIPT 11:
RECEIVED B'y: -K.. ....)
,;L'l~ I5I-f
I
200 amps or less 2- $ 50.00 .:b UIV --
201 amps to 400 amps $ 60.00
401 amlls to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" 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
5r. State Surcharge
3r..Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
, $ 40. 00
$ 40.00
$ 20.00
$ 36.00
.$/07). -
.$ ~.-
if. -; -
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