HomeMy WebLinkAboutPermit Electrical 1998-7-10
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Date -- 0-- . I-\c '/'lO?\<. -
A.nnorlzed Signatur~' 1-~I?C Ir i ,~Ie. ~Oi
225 FIITH STREET e.\-\f>-\.\. c c?tElJE'CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 :\I-\IS~c l'\Oc~~ "'QrO?' qf O~'1 '-I
INSPECTION REQUEST: 726-3769' :\I-\O?llCO \.l S f>-ef>-l'IOOI-lh ty Job Number
OFFICE: . 726-3759 f>-\.l cO O? I
" CO\~~E.~C ~~OOcOHPLETE FEE SCHEDULE BELOY
1. LOCATION OF IN~TALLATION ~\',()Of>-'{
} /1_ OLY"-J)"N S't p-~I'{ . A. New Residential-Single or
- f r Mul ti-Family per dwelling uni t.
LEGAL DESCRIPTIQU 7 Service Included:
1)1J Pl..P--r. i'/631- '1J (}~7-0v Items Cost
Ie
I
Sum
JOB DES~ 1000 sq.ft. or less $ 85.00
Vu(,)l~ Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular "Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
Electrical Contractor t::Sff[e-77?c /hJnr.~ or Relocation:
Address P. n C:.lI" .2 <.( 9 ~'l., . ''''<.-- 200 amps or less ---1-
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
.
City 'l.."U...P oJ ~
,
Phone b tPb~~ l). 3 ("
Supervisor License Number .:In -ri ~<;c...
Expiration Date .10-1- q?
Constr Contr. Number ")" ~iI<;
Expiration Date / '2-- -"S b _Q i'
Signature of Supervising Electrician
~~v-.A>>~
, (
Owners Name .J.J-. 1+ e (511-
Address-EDtl ~ fA-(fCUf~W
Ci ty ~ ~p.e'l (. ecO Phone ~;Y2.. ~ .:u:iL
f
OIINER INSTALLATION
".
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~----~~j2)70>l('-----------------
RECEIPT #: f):<'(ll/{ I ~
RECEIVED BY: '" . n~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
.5V
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
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with servic~
or Feeder Permit $
2.00
/to
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
IA . at)
_,no
1.4 r
7 L 1.-'1
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL