HomeMy WebLinkAboutPermit Electrical 2002-6-27
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225 FIITH STREET approval ing L-:~ 1- 1-ELECTRlCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 zon ~....:l. ~~ ' ' ',I, I
INSPECTION REQUEST: Z>Yi 37li9 --{;ity Job Number 0;)- 0017--r-O
OFFICE: 726-3759 ' ed Signature -
MthOnz 3. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION
764 Old OJ((,{AI'(,c! &t...;c..
- 5PIC''''''lhclI
LEGAL DESCRIPTIO~ l ' 1'Y:A500
II O~ 2.-:; L1"3 VI
JOB DESCRIPTION
fIfC~WI"-C See.Jt<., 7' )'/\ 'I"......
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorllltj.J,o~"'( h...c h,<ll~
Address 25'/( W .>t!- ,A.s<-.
City,EU?"-J'-
Phone '1'6'( -1,"
Supervisor License Number '3'1~ RET
Expiration Date /O/Ot /:<002'
Constr Contr. Number Cc.(3 net bG2t'
Expiration Date
':'>/!s"/o ~
Signature of Supervising Electrician
Da.Jl f-L-l-
Ovners Name C;;o.Nse,~ CO"H To<...!c ,<,)..]
Address 76'1 0 lei O<<..(("",c' L......,~
City H fO
Phone 4c']-iooo
01lNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE:
. "RECEIPT II:
RECEIVED BY:
Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
A.
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion" .....J:qui'
thereof ,,,'.,':ec1 Ill' tho Orc $ 15.00
Each Hanuf' d. Ho'me, or-Joe rUl:,)f
HodularDvelYi'riglO throughC
Ser,;"ice ,or'F~ederin CQr)los ( , ,$ 4'0.00
~'. ': . ~ ':-;,....,i1!". '~I~t3: th'" .
Services'or--Feed'ersr;n ~Wll
Installa tion;'AI terations
or Relocation: ,"--,-
,B.
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. ~~~ry Services or Feeders
f~~~~~"MltoS'HAt[ ~Rt~~ ffiE~Oj>{T( t i on
~V0Ha)litlsEfuUJiI:!EB THIS PERMIT $ ~6Joo
~SMrilmEU>W!S MlM-J!;IDNED Fl$R55. 00
M'irl h"tpPERRl3mps $ 80.00
~dr ~'~mps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
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. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
4S' . 00
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