HomeMy WebLinkAboutPermit Electrical 1998-10-19
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225 FIFTH STREET ~O i : 1ll~~CAI. PERMIT APPLICATIOI'
SPRINGFIELD, OREGON 97477 Do"" ""lct.~ 0- Oq
INSPECTION REOUEST: 726-.3),69 ' I I Ci ty Jo'b Numbel" '7 0 () { { I . '.
OFFICE: 726-3759 _ 1Jt~. I I' *
~ J COtfPLETE FEE SCHEDULE BELOII
1h,....!,QCA'rION_.QI' XNST'jq~g: I. ~
r<" O~ I /'f/Ilin I A.
~ . . JHIS PERMIT SHALL EXPIRE IF rHHtYiCi:l per dllelling uni t. :
LEGAL DESCRIPTIO ; HIS' PE~ MrffSl1~ In'c uded: .
-11'" ,.. ;,_~ lot' 4loAUTHORIZED UNDE~ T _ Items Cos t
. COMMENCED OR IS ~BANOQN :0 FOR .
JqB DE$C1UPTIO~ ~,~ .t, 1000 sq. ft. or less
/)/l.:-/.t4- (7 -I'Lh Ulf,\ 19!1 (It.y PERIO'I" Each additional 500
C(' I sq. ft o. portion
Permits are non-transferable and expire thereofj
if \lork is not started \lithin 160 days Each Hanuf'd Home. or
of issuance or if \lork is suspended for Hodular.,'Dllelling'
180 days. Service;or Feeder
2. CONTRAc:rOR INSTALLATION ONLY I N")'/CSihices lor Feeders
, .
~' THIS 'EI~stan.'!tiion, Alte.ations
Electrical Contractor.5ft,PPlY. . O'tl/Rei"IfH~,tEiYOIIF.!E IFTHE WORK
. <0-"'t-1- [A fH JAIZED UNDER THlS PI=R .
Address" S() l ^' r' 0 - ; COM! E200Qamp.sor' lesS MIT IS NOT
,j, -, '.';;'1 'ibi' a'n\~sSi~BA4~"Q)NrJliPIlOR
CitY_@'1 :r '/.44.' .. Phone f!}' &/i5{(;=1(id~lf;:{)40'h'am\.1~JU:,o. 600 amps
r.' . c: J _1"'11 <;" 601 amps to 1000 amps
Sllpervisor License Number 7() - ~ 11O~L- Over 1000 amps/volts
, I l'. Rec::onnec t: Only
Expiration Date ( 0 . I <; ...,
Constr Contr. Number. eo /d.- ~ C.
S IZI I cx:'l I i
Expiration Date
Sign~~er~g .E~ciml
~ - . D
Owners Name~~~\-()dl, . L~~
Address '7.. C(~ ,9-...-+. '
- - - - I
Cit~L( 0_Phone-=:].Q~...-~( 81
i
O\INER INSTALLATION
The installation is being made on
property I oun uhich is not intended
for sale, lease or rent.
Ovner~*~~gnature:
-.
-------------,--t;---------------i-
DATE: Ii) fI"I {'i t .
RECEIPT II: O<-a.)'tI _.11
,nprflT\'Fn 11Y: U W~
Sum
$ 85.00
$ 15.00
$ 4b.oo
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
I . .
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
Nell, Alteration or Extension Per Panel
Hiscellan~ous (Ser~i~e/feeder
-Each ins talla Cion
Pump or i~rigation
Sign/OutHne Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or vith Service
or' Feeder Permit
.,
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
:rO'l'A l.
$ 35.00
$
2.00
no t included)
A
S 40.00
$ 40.00
$ 20_00
$ 36.00
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