HomeMy WebLinkAboutPermit Electrical 1998-10-20
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225 FIITH STREET ~'IIcIt':'~~ ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON .97477 . ~~~ qO'/'7 7 r'
INSPECTION REQUEST: n6-~769", .""""A...~~ Number 0, v ~
OFFICE: 726-3759 ~~~ ~~
~ 3. MPLETE FEE CHEDULE BELOIl
1. LOCATAON OF INsr~TION
'107 (I t-tJ I)/l. New Residen tial-Single or
Multi-Family per dwelling unit.
LEGAL Dj:SCRIPTION ATTENT/ON'O . ce Included:
I.J_D...Y'b3 Lf '16 ~1,I~~""li'- ,..regOn/awreqUiresy 0
N -~ Q"vpted by th 0
otificati C e ~e on U~/it
JOB DESCRIPTION in OAR 9~n enter. Those n.1l9~ r€~' {Y or less
r/ m I'J elt;;c,. 7. 'JOg". \' 2-001-0010throug~ i'J ~'Prt8nal 500
I ", t-u ,,,"'v ootain cOpies lillh f cA01portion
Permi ts are non- t ransferab.f~'".ffiJh@lliSi1bEr. (Note' tl)$ )'E1~~jes by
if work is not started wit'Hwe[lfgr~regonuil/'~~~!I\~IJ:lfa<mFf'd Home,or
of issuance or if work is susp~rltoit:800-332'2 'dWi<MiODwelling
180 days. - !\ivice or Feeder
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical conNJ)JtJV:!i:.
THIS -.
Address AI'..., PeRMITC!I" '
-"11611911. ., ''''i..~ eX, ;
Ci ty COMMI". __ 'Ej,~1iQ'~E..7 - PIRe If' "+IF.:
/IN.,. ,_"",,'DO/1 }f1ISPffP WORK
Supervi~or Li ceh'!;~e1NumDerIS AB.I\A'~ riMI! Iq AI,
" I"F'R10" .~tJIVED ~ OT
Expiration Date ' Of:!
i
,
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name rIA -I.v ILP
Address /!'o'-/" 7'12.. S
Ci ty rIA '1; ,M.P Phone
OIlNER INSTALLATION
~
/-hi Mc<;'
7Lflf~1.ttiJ
The installation is being made on
property I ovn which is not intended
for sale. lease or rent.
Owners Signature:
~~~
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RECEIVED BY: II. V Wt"J,'
Items
Services or Feeders
Installation, Alterations
or Reloca t ion:
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
Cost
Sum
$ 85.00
$ 15.00
. $ 40.00
S 50.00
$ 60.00
$100.00
$130.00
$300.00
S 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
I $ 40.00 qu
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
,',.
Nev, Alteration or Extension Per Panel
"
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~J
5% State Surcharge ;L,~~
3% Administrative Fee I. ~
TOTAL '-1). U