HomeMy WebLinkAboutPermit Electrical 1997-12-24
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225 FIFTH STREET Au1horlzod Signature
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OPFICE: 726-3759
1.
~CATION OP INS~TION
't'7\O I.') (\..1\ IpfLt ./
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Constr Contr. Number I) ;::~.-'S;)
Expiration Date
d - ~-'1 'l;
Signature ~~~
oj?; (1 ioh.1 n 0TI~
:::re s li? l~) P~~
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners~Signature:
DATE~----}-CZ~ JI~,\ \~.dtQ}
RECEIPT #. ~. . ~ \\1 k \.......J
DU~PTVRn RY, '
. A.
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C\1 \ fj ~ ,
3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
D.
Branch Circuits
\__JOB ~ES~JON 1000 sq.ft. or less
~ ~(Jl~ Each additional 500
\ sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Hod~ar'Dvelling'
180 days. ~~ce or Feeder
Q ~ 'tP ;;.\
2. CONTRACTOR INSTALLATION ONLY 1&~ ~~~ or Feeders
, n .~ ~ :ij,st:jll'ation, Alterations
Electrical Contractor k>"",."",\-Yc:....s:: J~\\<g~o~Raocation:
~ . Ci~o<P-
Address ;)1)5 Lu d-- 'L ~'cJI:..J ~ '20~~ or less
-:lLJ ..., C'l.._..., cl\. ~1 ~~ to 400 amps
City ~A~~f-. Phone Sl~- Jd,L" 't4cm ~~to. 600 amps
. . 5 asO~a~s~o 1000 amps
Supervisor License Number 8-"S..::l.o 'Ove"i, l~~ps/vol ts
10 I' ClO Rec~~t ~ly
Expiration Date - - I () ~ ~ 1<
C. Tempota~ S;;vices or Feeders .
Instal~~~Alteration or Relocation
200 am:"o~.z;.ss \ $ 40.00 1d?
201 amps to 400 amps $ 55.00
Over 40l to 600 amps $ 80.00
Over 600 amps or lOOO volts see "B" above
Sum
$ 85.00
$ l5.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Serviceifeeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
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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