HomeMy WebLinkAboutPermit Electrical 1998-3-4
approval.
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225 FIFTH STREET AilIIloru.ad ~ ~ . l ~I'~ ~ ",\~\s '?€ l~CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 S,?'C" \J~I)..t. ~\ij, fA (J() q. 1-
INSPECTION REQUEST: 726-37691~~ o..10~\t~'i) O~\SI''O~ City Job Number -f 0 0 { I
OFFICE: 726-3759 . i>-\JIP C~'iJ ~
. COw.w.~~ f>.'l ?iJ\\OCOMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION ,'(iClI)
I I q c:;-- r'Y1 ~ S~ f>..~'l . A. New Residential-Single or
'- 1'70~JJ 1{)1'-OO Multi-Family per dvelling unit.
LEGAL DESCRIPTION ~ 7 U7 Service Included:
s;::>v:; cjv,-( ( (3-\ (' rVL " Items Cost Sum
JOB DESCRIPTION ...J. _ 1000 sq. ft. or less $ 85.00
1>! AI A. ,t::\ ":.v,\ (Le" Ub.L4-</L.~ Each addi tional 500
sq. .ft or portion
Permits are non-transferable and expire .thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular .Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor ~~~ ~~~;<-
Address p, () , ~ 0....... 2.. Co '-f .: .
Ci ty\..,v'IA--\~.w ~ ll< Phone Il.l L(-u70~
Supervisor License Nuinber ~ c:,lR~ -::S
Expiration Date 10 I/o/qq.
I' I C.
Constr Contr. Number 2()-2Qqc'
Expiration Date '/'"l / Id ("f CJ
I'::' I
signa~~r~ of s.upervising Electrician
~ct,~
Owners Name ;jV K PI v1-vI~
. )
Address ., l q r tI1/I <4-h.v
City '5 tf {d Phone.!l\.f (P- t,M 11
0VNE# INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~--~-t~~~---------~-----------
RECEIPT 11: /J,/... ('7 / I
RECEIVED BY: "-L 'Vn'~
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
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch C.ircui ts
$ 40.00
$ 55.00
$ 80.00
see "Bft above
New, Alteration or Extension Per Panel
.'
One Circuit '1- $ 35.00 s5.()O
Each Additional
Circuit or with Service Lf.OO
or Feeder Permit "2..- $ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
2.01. DO
-
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