HomeMy WebLinkAboutPermit Electrical 1998-1-5
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225 FIITH STREET ~O \ro~~<(..~~~~~~~aq'~i~mitt~~il.4t,Lro.~PERKIT APPLICATION
SPRINGFIELD, OREGON 9747<i.~ O~~_~ 'l.Ov' "pocm" ,"'''.I .,~
INSPECTION REQUEST: 726-~~ ~~~""~r~ c u' Ci ty Job Number q 7/ (oqi.-
OFFICE: 726-3759 O~ f:l'V~~ng
" ~ ) _ ~ '0'03. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION~ Authorlz .
/d./)F') ~ I">>.hl / Lo od Slgnatul'i',J:l..M., ""'0; rlpn t ial-Single or
i . . Mul ti-Family per dwelling uni t.
Service Included:
r70 ~EleIfT30 2000
Sum
Cost
Items
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
JOB DESCRIPTION
IJ O'gmdo ~<)f>(I/ r,'fv
1 /
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son i t rol Secur i ty or Relocation:
$ 50.00
$ 60.00
$100.00
$130.00.
$300.00
$ 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
Address p'.a. '-lox 21009
Phone 461 - 5678
Ci ty Eu uene
Supervisor License Number 1&89 REI
Expiration Date ~ II) -/- qq
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
6-28-00
Expiration Date
- .
~4'A::
D.
Owners Name ffj('(,.ahP If/ltleS! m.M! a
Address 3:'54() /l}cKenz;'-f> 1;;-""",-,,) 0
City.".<)-rr'-V.f!eld Phone.217-04?b
OllNER INSTALLATION
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm / $ 36.00 ~nao
5. SUBTOTAL OF ABOVE ~(o~
5% State Surcharge / ~C)
3% Administrative Fee J 02f
TOTAL .~R-88"'"
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~T~~~--:2-t~~c?-~------~------------
RECEIPT j1:' I -
RECEIVED BY: 'f!.. 0(//;1,(/L.---.-
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