HomeMy WebLinkAboutPermit Electrical 1998-3-13
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SPRINGFIELD
Autnortzed Signature l\ lV\. . HE~'
NO\\CC:. E~P\P.E In KW
225 FIFTH STREET \"\\5 1'E.f,MIi Si'lt>-.Ll iHIS PE~ CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 i E.O I.l\'\OER 1.11=.0 fOR (/ 'I)
INSPECTION REQUEST: 726-3769 p.l.liI-lO?ll 01'- IS "e"NOO.Ci ty Job Number 9 g (J7J l> vr
OFFICE: 726-3759 \ItIMEI'lCE.O .
.. CO 0 o,,~ P81IOC'COHPLETE FEE SCHEDULE BELO\!
1. LOCATION OF INSTALLAT\ON t>-.N'( ~\\
sc..o ~ I'hW A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION I
"",j) 1"0 ~ ...~~ ,...,.,J~"'l!)9"~C) Jof--':I.I
J.9B DESCRIP'J;!OS ("'l
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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 Contractor.....f11151() [ferti2~'(
Address I d.. S\D =<.~4-.....e+
City vv\'(1 Ar(J c.. Phone S41-41S..J.1.3C1
. Supervisor Licen.se Number .If>.(')&'- '\
Expiration Date j D-I-l1g
Constr Contr. Number lto-Ll~
Expiration Date J D-I...t1l?
.
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Signature of Supervising Electrician
O/fn.:... ~I~"q. fJ<'-~
Owners Name (:\ \\W ~o,...)
Address t~s'l0?:JP S--! '
Ci ty N\,n Ante; Phone 3-I-I"Lrl':,-:l.!;>,'\
OVNER INSTALLATION
The installation is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATi~----~~~J3-t~1\----------------~
RECEIPT. .: ~r '
RECEIVED BY: mJ/t----...-
Items
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
$ 85.00 ~,!;, -
$ ls.0dil~
$ 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
D.' Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B" above
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 Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge-l-.,D.3
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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