HomeMy WebLinkAboutPermit Electrical 1998-7-6
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T~lollowtngand PfOfeclsSSI....,.'heollle'
~d0e8 not raqulm speclIIo land Ull4I
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225 FIFTH STREET Dale 7.....~..t; ~
SPRINGFIELD, OREGON 97477 AuthoItzed SlgIllllur9 n Y\'\
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
LOCATION OF IN~~LATION /1
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JOB ~CRIPTIO~
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Permits are.non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
'~ CONTRACTOR INSTALLATION ONLY!
El~rical Contractor
Addre~ /
City ~ Phone
/
NumJle r
Supervisor
Address ~tP
Ci ty ;;;:'1(.#
OVNER INSTALLATION
.The installati~n is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
f~~/z/./ .
~~----_.e:----~-~CO-:D;~--~~~ )
RECEIPT 11: \ I'
RECEIVED BY: V~
ELECTRICAL PERMIT APPLIC~T~
",." l'Jb Number (Ji:;t)9:!D
3. COMPLETE FEE SCHEDULE BELOY
. A.
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
.sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .D~elling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation: .
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
fV() 601 amps to. 1000 amps S130.00
"'IC~. Over 1000 amps/vol ts. $300.00
IHISp . Reconnect Only $ 40.00
Expiration Date "~.,, 'ERMI7:
T "" ~1'f(O~ ~?rB.,:'y Services or Feeders
Constr Contr. N ber " CoMl1E; 'ED~l/~'btaFYffJ{Pig7r Alteration or Relocatio4{)
ANy NeED 'E:R rf(, ,. rHE (
EXPi7ration D te 180DAYP~~%:~~~~1/( ~ ~~:gg
Signature of supe. r,vising Elec ician '0'Wl- 401 1:'1',t18~d1m)5s $ 80.00
Over 600 amps 01:" 1000 volts see "B" above
,. / ,~ D. Branch Circui ts .'
O~ner~ Name ~~~~~ ~~~
k# ~;v /<
1/',... Phone '75'1')- S-W)
It ems Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
Ne~1 Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 35.00
$
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