HomeMy WebLinkAboutPermit Electrical 1997-9-15
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NO"\CE~ E.XP\RE \f iHE WOR
iH\S PERM\i SHF>.LL iH\S PERM\i \5 NOi
AUiHOR\ZED UNDER" BF>.NOONEO fOR
c::"'CED OR \5 I"
225 FIFTH STREET COMMl:.''4 ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9.7 4.1.~:~81)i,\)A"ig~i.~gQ.s 8lJbm~t0d,~-<1~'1" ~':-:'G~'!k;J Q 7 /' ') ft (p
INSPECTION REQUEST: 7~~'3'l69"nd does not raqulri> "pcr;,..':: !_.;:~: ~Gi ty Job Number I ..:)
auoro.iaL
OFFICE: 726-3759 n _1./
' , Zonin.qL.-()JV 3. COMPLETE FEE SC~DULE BELOY
1. LOCATION OF INSTALLAt;!.ON fA II ~ I/A/f
{L111 .I. 5t.,. <"a~f-W-fH A. New Residential-Single or
Authorizod Signsture~ Multi-Family per dwelling uni t.
~GAL~~CRIPTION ~ Service lncluded:
I 7 OJ.J U I 2 --D1-l/ () V Items Cost Sum
JOB DESCRIPTION
\~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~"?
Address Po ./3ox .~ J
City ~~ Phone ,,=,-,;t{,3 qbgq
Supervisor License Number J~<;
Expiration Date /D - ( - q 6
Cons tr Con tr. Number dot/fa ~
Expiration Date q - r t./ - qB
S~~~~lectrician
Owners Name. p---,~ P J2-1- ~J\"
Address / dg- dOk U,
CityUm.f.~;> Phone9~'.,~~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
owners Signature:
DATE~---~f7~~~--~-:------------
RECEIPT tj:: ( LY'-~ -, t.f () ~ J'
RECEIVED BY: LK ~ ViiI j A ---
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00 Sn "'"0
$ 60.00 --
$100.00
$130.00
$300.00
$ 40.00.
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amp~'oT 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 "B" above
.'
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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