HomeMy WebLinkAboutPermit Electrical 1996-3-8
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The folYowing Pro$~ M ~\,)ffi~, ~ ~ Vo\~~.
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97479ste?;/ y;/qh 'ELECTRICAL PERMIT APPLICATION
726AUlfJ~ signature ~(2""d"""z~/(!:r~JOb Number 0/6/ G 67
3. COMP~TE FEE SCHEDULE BELO~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST: ,
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION ,
d-()~ o='.r 5T
New Residential~Single or
,Mul t i-Family per dwelling un-i t.
Service Included:
A.
LEGAL DESCRIPTION
/ '7&:~: s 6// (5);;13 tYd!-
Items
. Cost
Sum
JOB DESCRIPTION
j..r;.,r /i> e; /v7//'.P-C- <il<::1l>lJ/ 77 C7~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
E~ch Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is sU~R~nded for
180 days. - ,
'/2. CONTRACTOR INSTALLATION ONLYB.
'------.
Electrica~:ontra=to1, ~V1V{.1\, I,LcJ /1;<
Address ~Mq~ L'!..\~J. ~flg,J\Vr\.~) .
Ci ty 0f111J Phone 'f}"ho i>))~
Supervisor License Number ~ /1 l1 6
Expiration Date ii%7. cJ/2--o)q [y
. -h -I ;J
Constr Contr,. Number /,(y jCJ1
.. Expiration Date . ~l4 {,
. jSignature ''1f SU~r;tisijg Eledrician
(X ( 1\ W }\JP1(, O~
Owners - N:me .M~~) ,4cLf}p~
f-/"'-'~ 'JlI
Address' 2 ~ " ) , ,
City ~0. Phone
pVNER.INSTALLATION
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to, 600 amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00'
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
'G.- Temporary Services or Feeders
Instal~ation, Alteration or Relocation
200 amps:'oT less $ 40.00
201 amps to 400 p'mps $ 55.00
Over 401 to 600 .amps $ 80.00
,Over 600 amps ,or 1000 vol is see "Bt~ apove
Branch Circuits
D.
New, Alteration or Extension Per Panel
~q~OD
\ t{cfD
One Circuit
Each Addi t,ional
Circuit or with Service
or Feeder Permi t ' '2...., $
$ 35.00
2.00
The installation is being made on'
property I own whi~h is not int~nded
for sale, lease or rent.
" E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Umi ted." Ene~jComm
13WOPF~G
5. .SUBTOTAL OF ABOVE
5% St~te Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$ 36.00
$'3Q.OO
;S rl'!'a. 0
le.96-
/, /i7
+'~,/~
+0\. 'Df- ....3?'c OW _
Q'V - , sr / J.::1..
40.00
40.00
20.00
OvnersSignature:
DATE: ~ -&-9'6'
RECEIPT #: 2<,,'<: ~S- .
RECEIVED BY: ~u._,,-