HomeMy WebLinkAboutPermit Electrical 1998-10-12
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8/, 1loI18q~It4i~C;AL PERMIT APPLICmN
97477 'Zon/ Iand~ Q 0 \1
726-37CPAt8...J.Q _I'~ City Jo~ Number D I
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A~SIr...... , 3. \ COMPLETE FEE SCIIEDULE BELOII ~
1. LOCATION OF INSTALLATION '~~ KJ
"-1,;1'> MAli..) .s:t- A. esidential-Single or
; Multi- ' 'er dvelling unit.
~N Of'}O() Service Included: Items Cost . Sum
JOB DESCRIPTION lo~~~~~ 1000 sq.ft. or less $ 85.00
)Nf::,~ ..JL CAI'2L.t......,,". ~o'i'Olo/rlJ!./O~,OEach additional 500
11/0 'L'qtiO S8ii~ ~~ ft or portion
Permi ts are non-transferable ar@:J1lflJiflGJg,I/CSI/ OPts ~IawJ
if york is not started vi thin 1~<J/JlirJi<'001.:t: ~l~~G(j~/;.A_ ~ome or
of issuance or if, york is SusPllD-a(!ib~{l7iiyo 010~ al1r~~;::~J!:
180 days. 'nOSrf, SCSI/ Otiiil/ ~~ ~<8r~~@r
c Or tl) fSr CO,Q , 0", S 8s fly
2.,- CONTRACTOR INSTALLATION ONLY Sl/tsr:01\>~~~!le-~,~f~!/j ~48f1iJrs
"80, 1)~, ~~eyOl$~ 9J.l,terations
Electrical Contractor,zLi6iG.,IG?;. r;~TQAc.SvC!!-(J(J~. ~~~J':6y
~) fCiitio
AddressJ.;1r> ~f?/>.e 200 amps or'lJ.ess
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Constr Contro Number q/).:Jt'J{) 1110-
Expiration Date .3/~1 l,*'S~~C(. 200 amps or less
, 'lVl'/y, ''''41/7' 201 amps to 400 amps
S']:' a ture of Supervising Ele~cnn..~.s SJ.;"i1. Over 401 to 600 amps
,(1' t7 fl /J. 4N.k'- ~e-NQ VUJ\to. 1.e-'-p,E,er 600 amps or 1000 volts
I (?" ~~ ~~ ";/2:~:- -~DC' 'C'IT/) rlTe-/1>
~ D~.J~., J' -IT/SO. %,enchl'~r.cuits
Ovners N e ~li r II <:)(10 ~6'''iJ\t1l ~ITM/y. WO,Qk-
Pv\^ ~ ~~ Al~rat~on or Extension Per Panel
S ~ ~ \ \ i.' t ' ItD,<:'O 'va,.
One Cir~uit /
Phone Each Additional
Circuit or vith Service
or Feeder Permi t ~ I $
.
225 FIFTD STREET
SPRINGFIELD, OREGON
INSPECTION REQUE'ST:
OFFICE: 726-3759
Ci tYp..."'r-<".l/Z.
Phone 3<1~-:"E(.,,;
Supervisor License Number LC-c,::J,~
Expiration Date
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,
Cit
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
~~~~~------:--~-Jl)-~~~:~~-----~-
RECEIl'T ,,: -L- A. - ':-V , <.....:..,
HECEIVED IlY:'CjIUJ~ J l IcA..-/
..
SPRINGFIELD
$ 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
$ 40.00
$ 55.00
$ 80.00
see "B"; a~.ove
$ 35.00 ~ctJ
2.00 &.a:.J
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
5% State Surcharge
3% Administrative Fee
TOTAL
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