HomeMy WebLinkAboutPermit Electrical 1997-8-28
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225 r~UQ STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
9;i~~~~;;ZOY Signal ,e_ll'1
City ruJ Ph,one(OK'b-.;lJc.,.\
Supervisor License Number ~&;)...~
Expiration Date /0 /i 8
Constr Contr. Number f.J~ )':6~~~~D~ C.
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I
upervising Electrician
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Owne~s Nam~r\l(\~\?~SD.
Add~SS~' \f'l)\0It/
Cit . 0{ Pho~ lL;ln'$
/ O~ ~~LATION .
Expiration Date
"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--n- . . -R1"'r---------------
DA.rn~---- /"J . dS . -l I f\ "\" ').c,
RECEIPT 11: I . ^ _ci'- ;Iv ,-
RECEIVED BY: ~
5.
ELECTRICAL PERMIT APPLICATI~
Ci1:y Job Number (N\ \ t)?( l
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
s
3.
LLOCATION ~ INSTALLATION
-+:=:~~:::~r,o~~u ~ q~i
3tf1)r'J .)/ W,ad'd-AI
' I/fO))
/l JOB DESCRIPTION \ fl ~ ~ 7C~ 1000 sq. ft. or less
nOJ:h~e.",- "'\C ~u..., -d, \S';O~ .. Each addi tional 500
"tiyo 19~r sq. ft or portion
Permits are non-transferable and ef~e ~~ 8~~reof
if work is not started within 18~p~~~C ~Ou~a ~~nuf'd Home. or
of issuance or if work is suspended ~ ~Oo li~~D1Jel1ing
180 days. . ~YA 19.{s'~e . e /~~Feeder
~t9/0 ~1,~;O~1l3 ~~.
2. CONTRACTOR INSTALLATION ONLYB. ~erv ~/.s:e~s
III . I ~ c \ . Install ~,~btterations
Electrical Contractor' ~ ~~C- ~~ or Relocaro/6h:
Address y.~ W to "t'+ . 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
$ 85.00
$ 15.00
$ 40.00 .
z
/.00 d>
$ 50.00
$ 60.00
5100.00
$130.00
$300.00
$ 40.00
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 100U
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, 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 with Service
or Feeder Permi t ZO
E.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
s
Ll"o:
~I
2.00
not included
S 40.00
$ 40.00
$ 20.00
$ 36.00
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