HomeMy WebLinkAboutPermit Electrical 1998-12-7
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. Date 1'J..- 7 .
THIS PERMIT SalL~P-IRE IF THE Wr\~
225 FIFTH STREET AUIHOQ/ZED U lOf ~' ~CTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 97477 NDER THIS PERMIT IS NOT . '.', _...., ~~. _. , l
INSPECTION REQUEST COrv1f21&~tfk~:90A IS ABANDONED FOR Ci ty J ob Nuniber2,:t:::~:'~. :0-' ',r ~ I Z 7./
OFFICE: 726-3759 ANY H10 DAY PEZRIOD, 3.
COMPLETE FEE SCHEDULE BELOV
, 1. LOCATION OF INSTALLATION
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I.J:GfU. DESOOP~ION . "
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A. New Residential-Single or
Multi-Family ~er dwelling unit.
Service Included:
Items
Cost
Sum
JOB DESCRIP'gqN .
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,
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
\DJlI~ 17MA-1 Installation, Alterations
Electrical contracto~'\rlU'-W,u~Vor Relocation:
Address fD ~ LWt" 200 amps or less I $ 50.00 ,ef).g
Cit;\LlY1~ 6~ PhonePf@~1JfDtfr zgi ::~~ ~~. ~gg ::~~ ~l~g:gg
-,' :). 601 amps to 1000 amps $13.0.00
Supervisor License Number ~~~ Over 1000 amps/volts $300.00
. . 0 ' . ATTENTION:Ore~fmNt;Jq~ilUsV6u to, ' $, 40.00
Expuatlon Date J..... 01 f~~I~"'~YleSa,dOPt~~theOregOnU!i1~'t
'~!!ication CellIet: %:ri'J~.ir%rseU( h or. Feeders .
. Constr Contro Numb~r ~--/~11'1~An9S2-001-00 thr8JdtfOA<W~5~~n ~!"atlon or Relocatlon
Exp'iration Dat~"" Lo-~'1 0090.:o~maYObt~fj<fO=" O{lPerM~by $ 40.00
fl {~. l.ic:tllu'l:I Lhe cente'2~otffu ~WleQ~%mps $ '55.00
Signa I Ii of sJ 1 'sing ElectriaIDlberforthe.Or~g@~~ '1y.ftI&tiijOOiQDnps $ 80.00
t . ,..1./ /.: Center is 16lQQ:3~WWps or 1000 volts see liB" above'
'.~ T --- .
- I ~i~" ,~~.. D. Branch Circuits
Owners Na"}<i _ JnnV\ L
\r \ New, Alteration or Extension Per Panel
Address ?la1 ~ It CI, Ina..y
Ci tY~D\k1t(ot Phone!i4
0\lNER n STALLATION
,.
One Circuit
,Each Addi tional
Circuit or with Service
or Feeder Per~it , ~ $
$ 35.00
J" /&.-.
2.00 ~
The installation is being made on
property I 'own which is not intended
for sale, lease or rent.
E.
Miscellaneous (Service/feeder
-Each instaLlation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Comm
not included)
DATE~------/~7-17r-~~------/J------------
RECEIPT ~: (F'!:> "');~r- l...' I
RECEIVED BY: A.P fA) "'~/
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
. TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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Owners Signature: