Loading...
HomeMy WebLinkAboutPermit Electrical 1998-11-4 . ., .~\. ..,.0 a O'~l'f~i ""'{~ ~. \~" C1b, .tI/. I, '0, ~ 'z "- J. '.....'i.< ,.... '<( , '<6 . yi.<~..~0/i.o: V' ,~ '<- ""0- ~~~~/ ~~~LfCTRICAL PERMIT APPLICATION ~'. , ~I) "', Qr; 1)\ f) '" 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