HomeMy WebLinkAboutPermit Electrical 1998-4-29
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NOTICEr,~Lq -f..j~
THIS PEaM~t~IlIgml(~~
AUTHORIZED UNDER THIS PERM IT IS NOIELECTRICAL PERMIT APPLICATION
~~J~C9ED OR IS ABANDONED FOR Ci t Job Number fA...; I, (/ q V
ANY 11;10 DAY PERIOD. y ---=u.u...:I..: *
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION /!
// / V 1 A-"1A"A- if: . p(Jr-:kA' '7) Y7)' A. New Residential-Single or
tI Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
) ~ (\ 2., ~ C; 4 I n7t1-<5D
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
JOB DESCRIPTION
lll/Jr_ <f"<-..r7PA
/'
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
$ 15.00
,$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
,B.
Electrical Contractor I?~;?~ C("J7I~Mcu':T)
Address I J-J- <=) u-. /It, /jv<.
City C-&<j(1Ad Phone ,('r7-y?..d'Z
U' '8')).. (t..r ~
Supervisor License Number ;J.o"yo'fcL e ce".n-.
Expiration Date /0 -(. '19
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
C, Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number /6,.f',;Lo2
$ 40.00
$ 55.00
$ 80.00
see liB" above
Jy..1 J~ 'If'
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Expiration Date
Signature of c;:Y~erViS' g Electrician
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C ----~ I
Owners Name E.ne... .A-":./ /ldAr-/.{cpl
Branch Circuits
D.
"
New, Alteration or Extension Per Panel
Address ,:2.9(0 hh~ .rr
Ci ty 75&<7 f?,A/( Phone C f'6' ['00.:;-
../'
OVNER INSTALLATION
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 Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00 ~o
5. SUBTOTAL OF ABOVE -:<,/ p, \SD
5% State Surcharge . X1)
3% Administrative Fee - '1 j<
TOTAL ~ 1'. I? \('
'\
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------7r--------iT--------------------
DATE: ,--2-1-'1.1\
RECEIPT #: ~7t .
RECEIVED BY: f iA.o I1AJ