HomeMy WebLinkAboutPermit Electrical 2002-9-23
. 22~,FlFTIi S1REET .
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
924 Nancy
LEGAL DESCRIP110N
1"1-0-;" 2.1";U
JOB DESCRIP110N
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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 fur
180 days.
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2. CONlRACTOR INSTALLATION ONLY
Electrical Contractor JB ELECTRIC. INC
Address 4685 Isabelle Street
City Euoene OR 97402 Phone 541.687.5770
Supervisor License Number 3872S
Expimtion Date 10/1/04
Constr Contr. Number 37587C
CC8
104929
Expimtion Date
10/1/02
3/14/04
Signarureof!J&A _
i/V l/
Owners Nape
Dewar
Address 924 Nancv
City Sorinafleld, OR 97477 Phone 744-6606_
The installation is being made on
,......,......_.. I own which is not intended
fur sale, lease or rent.
Owners Signature:
JB Job #02-697
ELEClRICAL PERMIT .ICA TION
CityJobNumber ()7-- 0113:>7-0 (
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3. COMPLETE FEE SCHEDULE BELOW
C. Temporary Services or Feeders
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting_
Limited EnergylRes
Limited Energy/Comm
5. SUBTOTAL OF ABOVE MINIMUM
7% State Surcharge
8% Administrative Fee
TOTAL
TRANS#:01-0010695
DATE: SEP 23 2002
ANT RECD:2 $ 52.90
CHANGE:
CASHIER: 011
Cost
Sum
SI\l(\a1ute Each Manufd Home or
Modular Dwelling . c,
S~~orF~e,.-(:J" "', S50.00 S
: :~~;.:~i.~:~;: ..,~:i I'~.._ I' :J~? rl'~~f, ','~
B. Services or. Feeders ..... -( n" i" ~:"'i'""':! ' "",
"U;:';'j.:"~;I."'I'l\'.""\:"",,~,: ...,.....' '11-' .'~',L
InstallatlOn,'AltemtlOns or, C. 'lJ,'~'~): .;.',,, "
Rel:xati"rl: ';. CF"f' (~,(];o. r- ..,~,'. .,
I 'I ," I~""\' . . . ..." ,
. '" ....vf ," l.r1:...~') ''''''''-,. ...._., . ...
. . L '~L ul. Lli!ll".\ ( 'i'~.
200 amps 0; less" . . . "q_ '"'' . ,. ~ I ...
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less S50.00 S
20 I amps to 400 amps S69.00 S
Over 401 to 600 amps SIOO.OO S
O'V~600 amps or 1000 volts sill' iHE WORK
~ I \"1 SH~LL EXPIRE II" - l')T
___ 1HIS P \1'/11 NOER 1HIS rtniJ.I I IS ~
D. ~ij4~ U \$.~~MmONEO fOR
COlfflM;tAlitWti@~I\)'\f."sion Per Panel
~N'{ 180 O~'{ Pt1 .
One Circuit
Each Additional Circuit or with Service
or Feeder Permit
S106.00 S
S19.00 S
'S63.00 S
S75.00 S
$125.00 S
S163.00 S
$375.00 S
S50.00 S
S
$43.00 S
43.00
S3.00 S
3.00
S50.00 S
S50.00 S
S25.00 S
$45.00 S
$<5.00 S
$
S
46.00
3.22
3.68
S
52.90