HomeMy WebLinkAboutPermit Electrical 1997-7-16
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The following pr' I
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97477
726-1'f6<)'ized Signature n nil
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. (ja8o~r(rlVfWl-~~(\~
\ rfn3 ~~~I~l MO
L JOB DES~~O-lo d1. () .
\J tV\!) \ ( ll,LllJU./J
permits1are non-transferable aJd expire
if york is not started yithin 180 days
of issuance or .if york is suspended for
180 days,
siYM~cian
Oyners Name ~1~ ~.]tJwo[')
Address3J::t~ \ ~.\1~O(JU\t.J
City f;J~ - Phone4~5'3\l0
OYNER \iNSTALLATION
The installation is being made on
property I oYn yhich is not intended
for sale, lease or rent,
OYners Signature:
DA~~~~=-------i)~~Cf':Y~+JD5 5.
RECEIt'l' 11: . 0 .
RECEIVED BY: 'fJIVJf" -
City Job Number
ELECTRICAL PERMIT APPLICATION
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3. COMPLETE FEE SCHEDULE BELOY
A. Ney Residential-Single or
Multi-Family per dyelling unit,
. Service Included:
1000 sq,ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular'Dyelling
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
C,
Items Cost
Sum
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contract~tJ.t<f\~O.( (\Qct-
Address \~() ~rCl..~t-uh~
City ft~n(L. ~one\Oq.,~,"1h3
Supervisor LIcense Number '?1C\~~
Expiration Date \ \), \, C{f)
Constr Contr, Number ~\~f)~
Expiration Date \, Q..S .C\8
$ 85,00
$ 15,00
$ 40,00
$ 50.00
$ 60.00
$100,00
$130,00
$300,00
$ 40,00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
D.
Branch Circuits
l
4D
$ 40.00
$ 55,00
$ 80.00
see liB"
vol fs
above
Ney, Alteration or Extension Per Panel
"
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
E.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL .
$ 35.00
$ 2,00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36,00
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