HomeMy WebLinkAboutPermit Electrical 1998-11-4
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~~~~/ ~~~LfCTRICAL PERMIT APPLICATION
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'" t\.,J ',,- ci'h:1JR{ Number "" I. J . L--
3. COMPLETE FEE SCHEDULE BELO'J
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. \ rPft\I~~6~~~TION
Ifr1~ n~[{)
.tJ.:O~ B~Wbrr\ffi.-
~er~s are non-transferable and expire
if work is not started ~ithin 1BO days
of issuance or if work is suspended for
l80 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor beo..V\Jf f\e~r<.;c.
Add ress f O. (SO?,- :A"; \? ~
City 7':t^Jt\'l.l~ Phone ~5t;-,,303
Supervisor License Number :( Ii \q 5
Expiration Date 10 -I. 0\
Constr Contr. Number q q <:;"; q
Expiration Date b -?"O - ()()
Gi ty
The installation is being made on
property I own ~hich is not intended
for sale, lease or rent.
Ovners Signature:
~;:-::l~~---,-~a\;:;S--
RECEIVED BY: )\ ~\ ~
--:;
A. Residential-Single or
Mul '-Family per dwelling unit.
Servi Included:
Items Cost Sum
1000 sq. ft. or less / $ B5.00 t5~--
Each additional 500
sq. ft or portion if fa
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder .$ 40.00
.B.
Services4~ Feeders
Insta~Y~2~r~.erations
or R<iy'fj~ti.&ri$ .Ore
If) 0 Eltion s ElrtoPl YOn law
200 ~~6iJ<ifeg~'et, ~rt by tl]:eq6ir~O' 00
201 "lJ!I1~ <t1onfjW, Os or.fI1:cQPt
401 ~flY1~e~~~ 'dhro~;~'es 0
601 am~rror t'J~ra ~. 0"1 ll3l8>t
Over 1000e ~;ft! Oi-g,'JfN.J,:',?:> 01 th ~~"(~
Reconnec t?My;;, 1."Yot} lit" ~'Je ''''I. r~.s (J.
000,3.3. "'lJI tv. ?,?hot} ~
Temporary Services o~'9~~U~~Uoe
Installation, Alteration ~r ReI~ation
C.
$ 40.00
$ 55.00
$ 80.00
see llB"
200 amps' 'or less
201 amps to 400 amps
Over 4~ to 600 amps
Over },~d?J'~~.or 100u volts
/i/S P ~.
BranqiYr,Ci ~~/7S
C I-/OR/~ SI-/-41
Ne~,OA~~raf~otl~~~nsion Per Panel
-4t\th 'C::fr/C~D 'D~R .,., 11t: /~
One Ci~'C.lJ~ t OR /S /i/S />,.. 'f$: as.. 00
Each Addi tfol)'il;J. t<lSt<l,y, ,111/1/, >vORI(
Circuit or wil~?Serv~Q~t:D /St\tOr.
or Feeder Permi t ~~ 2.00
above
.'
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 I&(~ =.--
5% State Surcharge 7. ..5
3% Administrative Fee 4')5~
TOTAL /''-(,. f/o