HomeMy WebLinkAboutPermit Electrical 1999-9-17
JOB DESCRIPTION E'JOOO sq.ft. or less
ALA12N' S'?~~C . -'II'V t:'IIP\RE\FiHEWO~:<\ch additional 500
1H\SPER\\II1I v' . - ~PERM\1\SNY;'q. ft or \lortion
Permi ts are non-tri\Q.:;,m~~teJt8lil'iiFIJ~1r~f' FOR thereof
if york is not st~~t~'v ~~g~NED Each Hanuf'd Home. or
of issllance or if(J6tllkl sE~d for Hodular:Ovelling
180 days. P.N'{180DAYP.' Service or Feeder .
2. CONTRACTOR INSTALLATION ONLY .8. Services or Feeders.
Installation, Alterations
or Relocation:
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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3.
1. LOCATION OF INSTALLATION
3~DS ,:-1/ f.-c..orJf)/ZJ olE
~~~~w.hV
Electrical Contractor -S:-r",,-~ C,1lf'
Address .;;1,17 MA,:V Sf- ~~.
,
City AU3AtV'-I
. .
Phone S<fl- "'/:).B -'--/s'/<f
Supervisor License Number :1 0 7"'t .1 ( G:
Expiration Date
/0 - cr q
. C. .Temporary Services or Feeders
Installation, Alteration or Relocation
Address 4L~~ ~ l\ti.uL
~ f'\ " r, One Circui t
Ci ty fI r Phone 141_).4. ~ If.; E~~~c~1~i ~~o~~~h Service
O'IINER STALLA'rION" rule . . -ic , ~v, reuulre< 0 or Feeder Permit $ 2.00
. -. F ado ,~y U 10
. '''tifiC?tio, (' Pied by the OreG" U."..
The installation i~li)A>,!;~I!~'_,'!',aa~'oiilbsE' rules a,E~ Hil~~el~aneous (Service/feeder not include~)
property I ovn vI)L<:"~) iys'not' iMende!b. hO eset.1!~ch ln~tallat~on
for' sale, lease or r~nf'!-'maYOblaincOPi~s fAR952'!?ump or urigatlon . $ 40.00
Ceiling the CenIer. (NOl' 0 the ruIESi!gn/Ou tline Ligh t ing $ 40.00 .
Olffiers Signature: number tOlihe Oreoon Ji.;.he relephorl:;imi ted Energy/Res -'-- $ 20.00 ~- <;;!!-
- -'... . .-...." ! fty Notificatij"imi ted Energy/Comm $ 36.00
. <, . "'')/.'1\
'5. SUBTOTAL OF ABOVE. ..:1.0, 0 0
1'bState Surcharge (. 'fIJ
37. Administrative Fee ~O
TOTAL ....d.-;l 00
r- -
Cons t r Con t r. Numbe r ;:1.;1-5 7 C L-€:
Expiration Date /o-Q"1
. Signature of Supervising Electrician
-~. -...? - ~
Olffiers Name
~AiE~~-----------~~~~'---------
RECEIPT #: t\ . ^\.~ fA\
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ELECTlUCAL PERMIT APPLICATION
Ci ty Job Number . ~O{)l ~1
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sum
S 85.00
$ 15.00
,$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00 i
$300.00 .
$ 40.00
200 ampS" 'ar less
201 amps to' 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Btt
above
.'
,
Nev, Alteration or Extension Per Panel
$ 35.00