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HomeMy WebLinkAboutPermit Electrical 1998-9-28 -::JoY6 #.r..~.~2"14"2-.:,'" _._~ ,. . . - ,....~.,'~" .., lorl HIS PERMIT SHALL EXPIRE IF THrig;~ N~~ ~n~:~h~~~hr~~~e~~ns~:I~i · UTHORIZED UNDER THIS PERMIT IS Nffi; "";~oM' - 1-0010 through OAR 952-0~1- JMMENCED OR IS ABANDONED F8Ft~ '" f~ ~~~'~~P'es ~ rules by - N,180 D~'" ~~81(IDI.FTH STREET l\uthOfized ~enor the Oregon ~ti;i~: ~e~~~~&tFCAL PERMIT APPLICATION SPRINGFIELD, OREGON 97477 Center is 1-800-332-2344) , ' ~ Or! INSPECTION REQUEST: 726-3769 . City Job Number "'1 lJ I ( 7J',7 -, 't) 0'1Q7 OFFlr.F.: 726-3759 1. LOCATION OF INSTALLATION ~IE' 50 ~ UJ^L~U' ~l , A. il~'l1 m7fJfJTIO~ fhC1r() I I .' -: ,'- - ~t!~B DESCRIPTION ~E:- tJ el.UHO\J~ € '~ Permits~re~on-transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. 3. COMPLETE FEE 'SCHEDULE BELOY New Residential-Single or Multi-Family per dwelling unit. Service Included: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts 'Reconnec t Only 200 amps"oT less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 D. Branch Circuits Items Cost' Stirn ' 1000 sq. ft. or less Each additional 500 sq. ft or portion , thereof Each Manuf'd Home or Modular Dwelling Service or Feeder \ ~ ~ a.:2.. $ 85.00 2 2>0~ $ 15.00 ,$ 40.00 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders Installation, Alterations ~r or Relocation: Electrical Contractor L.~~, Mb",'S Address 4-S~ S\-teu..a., ~T2 ' Ci ty ~ PPO Phone -,' 4-1'" ofs" ( Supervisor License Number g ~b- S Expiration Date LO - 1- , S( Constr Contr. Number Olti"bc)( Expira tion Da te '1- i',..,9 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 C. Temporary Services or Feeders Installation, Alteration or Relocation City ~ 'Phone OVNER INSTALLATION The installation is being made on 'property:I own whi~h is not intended for sale, lease or rent. Owners Signature: DAT~~--------~~:-~I=-~lC------------ RECEIPT #: ~ ~~ q 0 RECEIVED BY: ~ $ 40.00 $ 55.00 $ 80.00 volts see "B" above New, Alteratioh or Extension Per Panel $ 35.00 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 Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge 3% Administrative Fee TOTAL $2.00 no t included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 1/5 ~ 5 ~~ 3~ 1'24. l,.o iJ..,v' '1 ,