HomeMy WebLinkAboutPermit Electrical 1998-3-13
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SPRINGFIELD
"'\O\\ct.', \.. E.'i-?I?-lEtE ~IPERHIT APPLICATION
\" \>till SriI>-I.: S ?E.?-\oA' f':0
IrllS ?E.?: 'Q \l~QE.?- irl~ Cbwc.~~S?Number '1'-A [) 6 <6 I
rlO?-llC \.c, ta.~I>-~Q
I>-~ E.~CE.i\.Of\COHPLETE FEE SCHEDULE BELOV
CO\oA~ ?E.f\IOQ,
'lI'~I!.IlQf>Al. New Residential-Single or
~ Multi-Family per dwelling unit.
LEGAL DESCRIPTION 1 Service Included:
~,\.p 14 "'ll>~"'ll..L:L ,.... ~ o'i~u,c) .b?..l.o Items
225 .FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
S'~cl. OR."'bALr ~t!'
JOB DESCRIPTIqN
Permits are non-traftsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days."
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorJ\U510 Eltdrl'C
Address /2 ~ .:z,o:dslr,_1-
City n1114f?1<' PhoneS4f-'I1S-;l/3tf
. Supervisor License Number J /y /j 4> 51
,
Expiration Date {{)-I-qA
Constr Contr. Number 11/).;./ (I.
Expiration Date 10- (- q81
.
Signature of SUP15vising Electrician
r aLt~/1JP~
Owners Name ellt" '?:lli.z:6jr1 ~
Address /2 ~w. ;t,,-d c::J-re.d
Ci ty fYh4..ft1 ~ Phone ~J -'17<; - 2(39
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-------~tf/~-i'i1-b--------------------
DATE:
RECEIPT. ().:t f.),;(" -I- - .
RECEIVED BY: .,A. [~--
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Cos t Sum
-10,. -
$ 85.00 D-=',
':fI. -
$ 15.00 ) (",
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. 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 1000 volts
$ 40,00
$ 55,00
$ 80.00
see liB"
above
D.' Branch Circui ts
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge~,Q3
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
1> I ()l), e-o
11> C; ,1Th .,. ".en>
$-1 O~, -