HomeMy WebLinkAboutPermit Electrical 1997-11-5
)"' _ JO~DOE~~I~I\ "^_ ". .11/NJ 1000 sq. ft. or less ~
. _ ~ ~ I -r \~ l_~.LJ r-YCl:l- Each additional 500
J \ AV^ sq. ft or portion
Perjits are non-transfera~le a~_~~Ee thereof . ~
if work is not started within I80ftd~~ Each Manuf'd Home. or
of issuance or if work is sus~I~~ci'U' Hodular, 'Dwelling ,
180 days., 00,,_ D~ ~l' Service or Feeder
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2. CONTRACTOR INSTALLATIOrf)-<>>>J~"~ <:)V4 ~(~~ Services or Feeders
P I. e:. Oh",~~Qd_e>~.:-:.r,odinstallation, Alterations
Electrical Contractor!/OKJ ('/ SfV"';lY~J<3ICpy;~;. ~~Re10cation:
Address/f<O J~c,6~v'v D<:{ ~...o<Soo~ns or less
. , *AM?-';~~to 400 amps
City J:;::; VA ~ Phone(~<i 157 J ~ '~~ ~o, 600 amps
( ': ,', 6b~mtl'.$' to 1000 amps
Supervisor License Number ~S--:7 Over 1000 amps/volts
, .".) Reconnec t Only
Expiration Oate/{)-{ - 9'l:>
,
Constr Contr. Number r~;'15
Expiration Date j-J-S- -'1ci
.
. .
lGtV'
225 FIFTH STREET ,
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
~_~~~J1,N ~~Trft0~ ill .l~ . A.
l f\ffi~~IO~8ff) I
Signature of Supervising Electrician
~}r~
Owners Name ~ -kilO 1 ~( ~ D.
Addres~ ~ '1~?~
City -.li lq () If\L, Phonel%~
O\INER It4hALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
-
DATE: ------tts~qr ~~1~
RECEIPT II: l iLl] l' r"l"MCJ:"" /
RECEIVED BY: HllL '-.::J '
3.
ELECTRICAL PERMIT APPLICATION
Ci ty Job ~umb7r q~ 14-R'
COMPLETE FEE SCHEDULE BELOII
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost Sum
$ 85.00 PO
$ 15.00 4s
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00 4{)
$ 55.00
$ 80.00
see liB" above
volts
Branch Circuits
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or' Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
no t included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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