HomeMy WebLinkAboutPermit Electrical 1997-2-19 (2)
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Zonina
O~to Z",IVot /01
NM
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477Authorized Signature,
726-3769
1.
I,.qCS\TION,AlF .!!'STALLATION~ (\
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\ 17)~I!s;y;)PTIrJ (J~1r)
\ .J:,O&-DESCRJP'j;ION
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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 ~IUPS ~'i'"R...c:..
Address,':?17D m/-;-y>,Qn.....) LN
Ci ty i::Z-U"7I~13" Phone (,,?~ -1,.1;2..(
Supervisor License Number 27/'7'='
Expiration Date /ol1s L.
~Tt'6"l5
Constr Contr. Number 2:>;'7' 'Ie:
Expiration Date ~ Q.\Q.Q1
Signature O~ing-=lectrician
AM T/1"~ f'H'IiP.~ i\._-t-:'"
Ovners Name ',\ \~)/'
Address \. \44 [.:;C't10 l} nl~
Ci ty jJ)!t.~ / Phone l4-\ ~q5)
6~ . NSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DA~E~--------Gl~'\O\~C\~--------------
RECEIPT #: ~ "\ \ n/"- V .
RECEIVED BY: I\liiVW - ~
ELECTRICAL PERMIT APPLICATION
Ci ty -Jab Number ~ \ 0\ 1 J3
3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
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
uni t.
Cost
Sum
S 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
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
S 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
1l:cC... cfJ,
----L- $ 35. 00 ,,:,b,L
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
2.00
not included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
~ c:s 00
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