HomeMy WebLinkAboutPermit Electrical 1998-7-14
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225 FIITH STREET '~E\l'i\'\ceLEc:mICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~ '.. '/.~\?\ ,/'1 \S ~U \ () (j' )
INSPECTION REQUEST: 726-~ ?c?\<\\iS ,,\,\i\,\\S\"t."~bW Job Number '1 () 0 cr 0
OFFICE: 726-3759 i\'\\S D \}~Dt. l\\OO~cD
Di\,\O?\l'e O? \sJ'.~~'COHPLETE FEE SCHEDULE BELOY
1. LOCATION Of Il\ST~LATIO~~ NI~~ccD D.
<13/ <J\'! Or<..ho,-& 'S.<t- ~~~ '''0(:.,'1 \'I:?..\<A. New Residential-Single or
(>.~'/ wv" Mult~-Family per dwelling uni t.
LEGAL DT~Ti<l1J.c.j 3. ())20u SerVIce Included: Items Cost Sum
"
"
JOB DESCRIPTION '
~2Ioc..t-.-.c.1 -l-c,v,OD'W~ SUUI~L
. J .
Permits are ,non-transferable and expire
if work is not started within lBO days
of issua~ce or if work is suspended for
1BO days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor (Y\wk.~Q'" 'C:le<.h,<. t"L
Address 7lbS r, ~\u<.. V"\ t Sd., R~ ~
Ci tyc..o"ttCJ..<.,d3(ouc D, Phone cr t/'),-118'i
Supervisor License Number ~ '1'1;;;'I:f
J O~I-~ca
Constr Contr. Number /.:),'})3'1 ~
Expiration Date / tlpr ,9D\)O
Expiration Date
Si~U:i:U~~~s:J:ctrician
Owners Name ~I.\\-\.lre. ~ \-\Ol'\e.:';,
Address .p D 0 (1., O?( t!/ 2/1
CitY~l1i Phone 7W-2&bO
O~ ~S~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~\
~ATE~----~11Clj~~_---~-------------
RECEIPT j!: . IJ<"() )" t J (
RECEIVED BY: <..II ow--. lA.---
r
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
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
$ B5.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 volts
D.
Branch Circuits
$ 40.00 /(
$ 55.00
$ BO.OO
see "B" above
New, Alteration or Extension Per Pari~l
.'
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E. '
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
40.00
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