HomeMy WebLinkAboutPermit Electrical 1997-10-22
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
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726-376~u
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1. LOCATION OF INSTALLATIQN / f). u
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Eh'1e
Electrical Contractor E'/~'c!,., . r;vc..
Address 3'f?-<gq (].lJlJ.e'tYle.t.l ~ D~
City'RenI1~\'l\ <(!~ Phone5ql-3&1'-1f~CoO
. 4Go--'f~'5 I
Supervisor License Number 403.~<;
Expiration Date JO/qg. ~.
Constr Contro Number~lt:'6 h;;;;-;;; C.
Expiration Date ~98' I 1019'S'
Signature of superv~ng Electrician
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Owners Name !i./IlUJ~
Address ~C)qO jJ?, ,}J 81J2ee.,.:!- -
Ci ty Phone 10G,-'-CXJ:J?;
mINER
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~E~--7fJ/'~7C7~=-----------------
RECEIPT i; tU. - ) ';(, UY
RECEIVED BY: i.t-. . tit/l!~
ELECTRICAL PERMIT APJ;LICATION
r.~ ty Job Number OJ / i Lf19
COMPLETE FEE SCHEDULE BELOV it
New Residential-Single or
Multi-Family per dwelling uni t. ,
Service Included:
Items
Sum
Cost
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
$ 4().00
B. Services or Feeders
Installation, Alterations
or Relocation:
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
$ 50.00 &sf,)
$ 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 volts
$ 40.00
$ 55.00
$ 80.00
see "B" a~
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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
5. SUBTOTAL OF ABOVE C:;O, ~ 0
5% State Surcharge - j - '-.." U
3% Administrative Fee i _ '" f)
TOTAL "-,u. n ( ) -