HomeMy WebLinkAboutPermit Electrical 1998-6-12
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97477 Authorized Signatur8_ f) I'YI
726-3769
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERMIT ,.tPPLICA~I~N
r:itv Job Number "'" ~\) "::::r)l
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3.
COMPLETE FEE SCHEDULE BELOV
1. R~~~IOtt\W~
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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.
A.
New Residential-Single or
Hulti-Family per dwelling
SeJ:vice Included: '
unit.
Cost Sum
$ 85.00 AS
$ 15.00 4S
$ 40.00
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular 'Dwelling
Service or Feeder
"3
2. CONTRACTOR INSTALLATION ()NLYB.
Electrical ContractorIJDb Fe), e/ I'kf.nc.
Address ) f?' () "k'.. 'ntri.'> 6N",..'" ,# tie..
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Ci ty€:.,.-.:"",,,.n, IlL Phon~R"9 - 79 ? ?
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Supervisor License Number 39?.>- 5
Expiration Date /!I~^,"/- 9?
II"/,~~ --\.e..,. _
Constr ContI'. N\l,m~(>t'76,:J?6 '
. ~U"1t. ""Il.
Expiration Oa/?eu, '?J11~f/;1,iJ::....po
AA...""l1I:t\1{'l Ut\I, :.rP/~.
Si~~e r.S{jW"lr~~ ~~~"}f~
'-WJJ..!J- L~ ~t1/~ C-9MLlts WO-9.t
Owner's Nl\mJ:{.11 J 1 0 ~~I'riY\1E}o~ t\1~.
Address V,~ ~ ~~
City filV.no~ "~hone ~44.2Jdl)
OVNER ~STALLATION
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 -----
$ 50.00
S 60.00
$100.00
$130.00
S300.00
$ 40.00
C.
TemporaJ:Y Services or Feeders
Installation, Alteration or Relocation
200 alllps- "or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100v
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
VOlts see "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Perllli t
$ 35.00
$ 2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Hiscellaneous (Service/feeder not inclUded)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE _ \f.lf)~ .
5% State Surcharge 'l9. 'vI''>
3% Administrative Fee ,.., .Oe )
TOTAL ....,tl" ) A- {).
Owners Signature:
;;ta m-' ' -
DATi~---~-- --:rd}.-'~ ~ ---------- '"' ---
RECEI : : -d~ ~, I" ~ ) ,
RECEIVED BI: "Pf\j J..U JL./