HomeMy WebLinkAboutPermit Electrical 1997-12-1
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2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor /1/).,4 ,!J}(JY'hc(O
Address /}}. fo~/I'J-f r')-
Ci ty r::: Vi !/l ( Phone C, j' - ;iYY
Supervisor License Number '] V'- ?6J-CLE
Expiration Date ) O;1/t1!
Cons tr Con t r. Number q J 19 J C.
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Sign~/<??;;Jr
Owners Name~ C. -01r:1~ D.
Address ? ~~s: o,~/(
City 5p1//~J~~t/rhon: ?~(,-fo)V'
OVNER INSTALLATION
Expiration Date
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
ge s ~ignature: ~ Il 'T/
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DATE~~--r-;r;l(-/?~--~--------------- .
RECEIPT 1I:,' . ~<? I Lf -r.. "-
RECEIVED BY: <f<'LU
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number q 70&) 7--
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
Cost
Sum
225 FIFTH STREET Authorized SlgnFJlJre f\ M
SPRINGFIELD, OREGON 97477 '~(J~
INSPECTION REQUEST: 726-3769 ~ 'I~~
OFFICE: 726-3759 -1&... 1S',o~", ~.
r'~'~ 3 COHP~TE FEE SCIIEDULE BELOII
1. LOCATION 9.F )INSTALL{lTIOrPO~ V-9~ Vl' oS'-s.: .
;::) vr ( ) }f/J'l 'fit: -1k". ~&,_ ~D" '-1l:(.~ New Residential-Single or
'00 l..~O ~De ::t'Aih\l t i-Family pel' dwelling uni t.
LE<;iJIL DESCRIPTION '1?/ J D-1r 0-9~ i9~ S1i:j,"~ce Included:
( AJ tr. ft"./--rCl" ( , Y '.1( y ~ -1& VoS' ,oe l'..y~ I t ems
~B DE~\UPTI~ 170~s ~:~~~~~or less $ 85.00
r)", ff/H/h fA, ~~oia~onal,500
sq. ~t or portlon
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if wOl'k is suspended for Modular Dwelling
180 days, Service or Feeder
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporal'Y Services or Feeders
Installation, Altel'ation or Relocation
200 amps' 'OT less
20] amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00 "
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feedel' Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Sel'vice/feeder
~Each installation
Pump Ol' il'rigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State SUl'charge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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