HomeMy WebLinkAboutPermit Electrical 1999-12-2
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION Ol-INST~.~TION I I
44nO /- vQn ):::..\i V\ 1?., VC
LEGAL DESlfRIPfION
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JOB DESCRIPTION n
J()S1u On 700 Amf!_:'TanPY
4 (1t/irud-s
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Blll'lder:s ElEd-n"C..
Address /q5 (v1adiscl\
Ci ty61J~ehe Phone 4~E)-()9z.z..
Supervisor License Number 2fi?O-~
Expiration Date 10-'- 0 I
Constr Contr. Number 4Z.9({J
Expiration DateJI" 10 - 00
Signature of Supervising Electrician
(lJd --iJJ~
Owners Nam~ () - 1-1 oJ}
Address44QO F(Cl() I[lirl 15 \u:f
Ci ty Spfl <<rf"PMphone
OYNER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE: /2~'2 .
RECEIPT #: -~.c --=-
RECEIVED BY: // 1/.&~~"
"LECTRICAL PERMIT APPLICATION
City Job Number qq /42 ~
3. COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft. or less
, Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
Inc. or Reloca t ion:
200 amps or less I
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
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
50-00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or 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 liB" above
.'
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder not included)
-Each installation '
Pump or irrigation $
Sign/Outline Lighting $
Limited Energy/Res $
Limited Energy/Comm $
S~ :~2
I ?it
-C. ':J . ~a
One Circuit
Each Addi tional
Circuit or vith Servic~
or Feeder Permit ~
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00 P> DO
40.00
40.00
20.00
36.00