HomeMy WebLinkAboutPermit Electrical 1998-2-4 (3)
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The following project eo oubmllfftCI hfl$ lh f II I
laning, end doee no! raquln> apecIIIc"";:; 0 ow ng
approval, .....
225 FIFTH STREET Zonllll1 LA. V ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9747'b.1.'J;_Ll ..q-.j (\ Q ^Nl---L
INSPECTION REQUEST: 726-3rfi~ ' City Job Number v.. Dl )~_-)
OFFICE: 726-3759 Al..: .,_"JSlgnatufe Y' "t.
1. ~~~ ~F~~~1{O~\- '
\ cf~~.t%PTIO~'l\fl.\C\
\ JOV;~~ro:gF (L. \ <i-t,[) cr
~~,'are non-transferable and expire
if w~~ is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date 6 -;2.0 -9q
Sign~e o~,s~pervising Electrician
Owners Name~{\.f'WR__I_~
Address fib S [)(\ M' ~ L
City rn1ef\u--- Phone'0'\S~ ~?{l.S
O~ ~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners~~ignature:
"
------------~ -------
DATE:_ - .qr: c2S~'~.:)
RECEIPT 11: /.J, ~ U.../
RECEIVED BY: \'1)(...(
(;UIU'Lr.U:. 'FEE SCHEDULE BELOV
, A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
200 amps'oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home, or
Modular, 'Dwelling'
A. Service or Feeder
-~ '
2. CONTRACTOR INST::tON ONLY ~ci~ ~~"ices or Feeders
I I +- Cl ~ ~<'lrhallation, Alterations
Electrical Contractor eo-.W) f edR.I~4., V1l '6t>;-.....Relocation:
'J-' .<<:; ~ <.Sl
Address P. O. Bo~ ?-.t;q5 ~ 1--C'~ 2'gQ ~f')lS or less $ 50.00
<D..,.... <?dO~~m~ to 400 amps S 60.00
City Z"-'1<''''e Q7</O"Phone q~~- ~~O~ ~~ tf9.r~SOb.o. 600 amps $100.00
~c1~~~:;:; 1000 amps $130.00
Supervisor License Number ~:?'I'l S' G;ve ~~/volts $300.00
Recon~ ~~L. $ 40.00
Expiration Date ,0- \ - q!? ~ ~ '~
C. TempOrary~e~~~ or Feeders .
Constr Contr. Number 9QC;I'l Installati'Ojl, ~teration or Relocation
Items
Cost
Sum
I
d
65
W
$ 85.00
$ 15.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
"
One Circuit
'Each Addi tional
Circuit or with Service
or' Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
S 40.00
$ 40.00
$ 20.00
S ~oo
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