HomeMy WebLinkAboutPermit Electrical 1998-6-27
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~~( ~Ol1CE:
_ ~ ~~IS PERMIT SHALL EXPIRE IF THE WORK
Date ~ -
AuthO-~H" ST :.\:.I"f nUHILED UNDER THIS PERMIT IS NOT
~ LT:'- t'l~-r E FOR ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGOrP~~CED OR IS ABANDON D
INSPECTION REQUEST:ANV2J6-Q37'69PERIOD. Ci ty Job Number q K 0 () 2[d-
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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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 for
180 days.
2.
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Contractor
Address
City
~ Phone//
" //
License N~bli!r
'''''
Date / " .
.~
''-::::,
Supervisor
Expiration
Supervising Electrician
Owners Name !.,s;:SL (,f" A - W/-f A UN
Address ~6 0 Oil ,Cp(.J L ~ /I u C-
Ci ty51',e'/IJ~H<:"L D
Phone If!?' 3..J 70
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~'a,~
DATE~----~:~-i:;i---------------------
RECEIPT 11: O<()()d-/
RECEIVED BY: n. /Mia rAA-c;f/'
3. COMPLETE FEE SCHEDULE BELO\!
. A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
.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
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B" above
D. Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit I $ 35.00
Each Additional
Circuit or with Servic~
or Feeder Permi t ":!!F.i $ 2.00
3.(1.:'
C.n>
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. J/J,/~
SUBTOTAL OF ABOVE ~,
5% State Surcharge -J 0,
3% Administrative Fee /.-;;J,<
TOTAL uit. j 51