HomeMy WebLinkAboutPermit Electrical 1998-12-18
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\ ., . '-'""'lIo~~CTRICAL PERMIT APPLICATION
9~~ . . liBo,oCi~y Job Number O~\~\~
'C", 3. COMPLETE FEE SCHEDULE BELOII
1. ,,y)w:J.OIN_~INSTALrmOND .~. .
.">~L\l ) _ ~ ^ ev Residential-Single or
'-Family per dvelling unit.
\ (j(13~Il~~~ ~~ ~t:O Service Included: Items
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1\ ~O~ gn\(fon~ c\- \: Q ~ \ ~'?:>\
per\Jts are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorf}J1%"~ I!'k.
Address .J'l.'iil./ S/1C(clev Rei .
Ci t~ r.-Jil'l:~1 C phone,tC Sf! <I 'I <.j ~
Supervisor License Number,;1 (J() , 5
Expiration Date /0///0/
,
Cons tr Con tr, Number C7 8 :z B 3.5"
Expiration Date /0/ //9e1.
I I
Signature of Supervising Electrician
,u'",~ -;t'~ ~ ' .
Ovners NamWtf\f\1J') \\\,l'~\\,f{\
AddressB\4~ \fu ~~ ';(\)
Cit~~ Phone~5
~~NSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~r~-FJ-:1r(----------------------
RECEIPT 11: U.:5~-:Jt-> [),:$ ..
RECEIVED BY: P I. rni'l (lna a. u
Temporary Services or Feeders
Installation, Alteration or Relocation
40
1000 sq,ft. or less
Each additional 500
sq. f t or portion n
thereof j...-
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
B.
Services'or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
Cost Sum
$ 85.00 ~S
$ 15.00 oU
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40,00
\
$ 40.00
$ 55.00
$ 80.00
see liB"
above
volts
"
Nev, 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 vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 3~ 00
ffi.
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