HomeMy WebLinkAboutPermit Electrical 1997-7-6
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. t\(Qfi) ZF ~l).ttZI:l-t
\ 1OO''b~PTIONOO\(X)
~'--'(~(~ lDN\~PTION
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for'
180 days.
2. CONTRACTOR INS~AL TION Ol:!LY ' _ ,B.
Electrical Contracto T ~~
Address Ion I (.JJ...()JLp " '(j
City Yl r.w~~ Phone:A-~ \~B '
, Supervisor ~cense Number ~ ,j f ..J '
Expiration Date 11.1.~ '
Constr Contr. Number ~
Expiration Date 4.11Q .Cf<{
,Signature' of Supervising Electrician
"c.-LI~
Ovners Name ~fl) Qftl YN JuCutlr
Addr~4Locr) l fN'l.1 fu\k;.
Ci ty _ .U N.. . Phone lo ~.133
o ~TALLATION '
The installation:is being made on,
,property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
.",
D~TE~~-------)o-~7c;.~'1 -----~----~-
RECEIPT II: A. \. '1' ~'")
RECEIVED BY:llj V 0 I( 'A' ,-
ELECTRICAL PERMIT APP.LICATION
Ci ty Job Number-Qto\\~
Nev Residential-Single or *
::::~,::: :::::':::O:Oi' " '
Service Included:
Items Cost Sum
3_
A.
1000 sq.ft. or less
Each, additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dvelling
Service or Feeder
Services ,or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to,oOO amps
601 amps to '1000 amps'
Over 1000 amps/volts
Reconn.ec t Only'
C.
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
8'ranchCircui ts
$ 40.00
$ 55.00
$ 80.00
vplts see tIB" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith 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 '<'~.C{)
5_;~B~~~~; ~~r~~~~~e., " ".,,',':3i.r.,',~"
. 3% Administrat.iv,l:!Fee",. ' f. U ~ ,',.-
TOTAL,".' '''',3R",~ -.:.
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