HomeMy WebLinkAboutPermit Electrical 1998-12-9
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SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOq.nON OF INSTALLATION
57;;3 mIJIA/, S/?rP . A.
LEGAL DESCRIPTION
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor_'-Hi!fOltlt6 ~
Address~:!. SHa.L~ ,c;.,
Ci ty SpFrJ Phone.:l.!!7 - O~((
Supervisor License Number 3cvc..-S
Expiration Date /'0 -I - '2~1
Constr Contr. Number ~ {'i' 1> ~
Expiration Date "1- ~ - "i "'l
Signat~~ of Sup~rvising Electrician
..,V;/1 ~ ~ --
ovne: Name-/; _1f>f'.4'~16>f1 j'h~A71I7
Address P J ,(] AX / S 2 e,
,
City rvA1~ / 04., Phonel1p7) 4(,)- 'j'~IJ/
, 't,)~L .
v..."" INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~s~gnature:
-,
ELECTRICAL pERMIT APPLICATION
City Job Number q r; /.c; Q 0
COMPLETE FEE SCHEDULE BELOY ~
Nev Residential-Single or '
Multi-Family per dyelling uni t. '--
Service Included:, " .
I terns Cos t Sum
3.
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00 _~~
Each Man,-!f'd H~me. or '(\~~v'
Modular, Dvelhng' ,~\'i''\ \'O'f>.O'\
Service or Feed~r. '\ ~iSS'~40.Q9~\\ _~
. ' \0'\\\.1:: ~ 'O~I'V ,\'(\\'0 \'~ ~\) \,V' '
Sernces or~Fe!!de_rs~\ \\'f>.\)~((.. ~vO~
Ins talla t ion1',"'kite-ti~'i>ons", \S ,,~'"
or Relocation:,\,\'(\\J ,..,...\)0 ,'-, '
1''' <'-'1;:\\.)" "',"
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200 amps or less' . $ 50.00
201 amps to 400iamps $ 60.00
401 amps 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 amp~'ar less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 voLts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
Nev, Alteration or Extension Per Panel
One Circui t ,
Each Addi tional
Circuit or vith serviceS
or' Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
DATE:
,
1.2/7/7 f5
(,IJI ;;.: ,j i. ? 72- ' 5. SUBTOTAL OF ABOVE
~ ~;?1~~;; ~~:;:<:~~:~~:!e~~~
$ 35.00 3~
$ 2.00 10
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00 ~
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