HomeMy WebLinkAboutPermit Electrical 1998-8-8
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225 FIFTH STREET NnTI~~ ~ure-LltY-I-= -ELEC'l'RiCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 974tr . ri-(j'f'\q, e:!....
INSPECTION REQUEST: 72~6'9RMJ! SHALL EXPIRE IF THE WOO:I(ty Job Number VI, 1\U Q-'-.)
OFFICE: 726-3759 AUTHORlfED UNDER THI!i PERMiT Ie: Nr'IT '
J. COMPLETE FEE SCHEDULE BELOV
1. LOCATIOti"OF INSTAL~MlENCED OR IS ABANDONEe FOR
, . "'In \ t'nCln(l'f..;.O 4~(~:\QnnAVgl'l"'I/').o A. Ne", Residential-Single or
. ',' ...'. ..,;:, , . , ' Mul ti-Family p(!r d",elling uni t.
\,\~~~PT~'~ Service Included: Items Cost
,
a I JQlI. DES~PTION n<<I'Jf\
)JV.... l-' n..Din I'l n0.J, CLDd-
per~s are non-transferable and expire
if 'ork is not started ",ithin 180 days
of issuance or if "'ork is suspended for
180 days.
1'1"";J
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor beA.IVS ffeJlllG
Address P,O, Bo'X ~5"" 35""
City l/.l.'1erve '17'102 Phone q35"- ~)D:S
,
Supervisor License Number 32' VI S"
Expiration Date /D-, - '13
Constr Contr. Number qq .<)79
Expiration Date ID-I-'!:?
Signatu~ of Supervising Electrician
tLL
O",ners Name0' -"run r+ft. ~
Address B3~ ~ rrl Au
City rlYlf IlL Phone(~ q~CO
OVNER-(}NSTALLATION
The installation is being made on
property I o"'n ",hich is not intended
for sale, lease or rent.
Owners Signature:
------------~;ri{;t~Ji----------------
DATE: (')
RECEIPT II: ' /)j} (, 1 r /
RECEIVED BY: oJ! Wv..../ '
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I.',:
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1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular, 'D",elling
Service or Feeder
I
4-
Sum
S5
J.i)
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to'1000 amps $130.00
AT1M!'fIqlG~eiilil~~60.ltI$ires you to $300.00
fO"~~tedJ:w the Oregon Utiiity$ 40.00
Notification Center, Those rules are set forth
io.oAffl~1I'jlOmllYiba!l5 CW'l ~@<bo.1s
0090.lYauB1ll}a:td8:ili'C~IlIl~IlJIMt>!l-eloca t i on
calling the center, (Note: the telephone
nU~flWllM'Ol'13g$I'l~i1ity N('m;,.~tl"n $ 40.00
20:t:~s~caOd1~3~) $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
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D. Branch Circuits
"
Ne"" Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ",fth Service
or Feeder Perinit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res. $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE j!/~, lJD .
5% State Surcharge "",vS',
3% Administrative Fee ~. 3~
TOTAL 1)(".(/1>
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