HomeMy WebLinkAboutPermit Electrical 1998-8-11
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225 FIFTH STREET 0alllR"--11 '0~,
SPRINGFIELD, OREGON 97477 n ~
INSPECTION REQUEST: 726-?h"". ,,' J 8lgnlIIUl'I>
OFFICE: 726-3759
ELE~CAL PERMIT N,PLICATION
Ci ty Job Number Y~Df\~ <1<
3. COMPLETE FEE SCHEDULE BELOII
1- L~~N ?\) I1~tfuLATn ~ ~
~ l[ , en Nil\. A. New Residential-Single or
Multi-Family per dwelling unit.
~~SCRIPTION Service Included:
V,[) ~ < 1) _ ~() rrAN2..- Items Cost Sum
JOB ESC~ (, 1000 sq,ft. or less $ 85.00
. t Q. <4 "'\O.N)/'~~- Each additional,500
sq, ft or portion
Permits e non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular 'Dwelling ~ .]Q.oO
180 days. Service or Feeaer $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Ser~ices or Feeders
,# 'A- Installation, Alterations
Electrical Contractor ~ ~"~<'~ or Relocation,
/p Oh
Address (O'fz 7~ Jd v ~6' 7goo amps or less $ 50.00
"/U ..oc::;2~.1' amps to 400 amps $ 60.00
City C--,~....t:L Phone_TZP _/b;~ /',yO-9, i9@ amps to 600 amps $100.00
f! 4".-'I(~ ~d6lS'~mps to 1000 amps $130.00
Supervisor License Number 115- ~Vr, ~4'c lijM.r~4:0QO amps/volts $300.00
( f t7 <70 0 ~O Clelle~fl(fQj~only $ 40.00
Expiration Date Z '10 ~r..o ~I.i '>'/N,_ ~~
// C. <.<'4~hf~a~4ffJli~es or Feeders
Constr Contr. Number t13;J~i7 ~t5 .tQ)ta~~t,~~ '~~ration or Relocation
.-TOO~ Vl'l.i 0-9,
/z(9g 200 amps"~A-\!~sjlO,.~ $ 40.00
201 amps to~ amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u voLts see "B" above
Expiration Date
Signature of Supervising Electrician
~.~
Owners Nam/ \:(l2I'l ~
Address ?MJ 0 ~ ~ct ll( OlU-
Ci ty finQ (lQ, Phone.12A. .f\Cfllo
, ~NSTALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease 'or rent.
Ovners Signature:
---------------------""I1\--H=.=~L--- _ 5.
DATE: <6-II..qq ~~. 7)
RECEIPT ~: ~ r f)r;;~ I" .
RECEIVED' BY: ~
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service \
or Feeder Permit
$ 35.00
$
2.00
R.~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
SU8TOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
Qn 00
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