HomeMy WebLinkAboutPermit Electrical 1997-10-8
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225 FIFTH STREET ~~<2> ~t~\) \fO ~~
SPRINGFIELD, OREGON 97~^'~~~ct\)O~ ~O\).
INSPECTION REQUEST: 71%-~.~ :-( ~i~
OFFICE: 726-3759 _ cO M \,\)Q~ .
1. LOCATION OF INSTALLA~ON
4 3'1 Q ST
LEGAL DESCRIPTION
It O,t-4- ~1 Do r 0 (
JOB DESCRIPTION
'P-.G9lAc:F= 2cnA M~ ~4-<8~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
COMPLETE FEE SCHEDULE BELOV
Cf7/l.f77
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular'Dwelling'
Service or Feeder $ 4'0.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Installation, Alterations
Electrical Contractor Beacon F.lp-ctrj c or Relocation:
Address 2585 RnnRPvpl~ Rlv~
City
Phone461-0291
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Supervisor License Number 348SS
Expir<!tion Date 10/01 /gB
DouJ, Ie..
$.5G-:00 I 00.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number 184g7
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date 01/1 O/QA
. .
City
spe.. \ l\Je.,- Ft ~hone
OYNER INSTALLATION
-.
DATE: 'II -- O'? - '7 ~
RECEIPT i:. d 7 (p ::2.l..., (
RECEIVED BY: i4.P
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
$ 40.00
$ 40.00
$ 20.00
$ 36.00
lOO.DO
5.00
0" 15
tOB.IS
;J.Sb
f'~ . ...
-'-';;i~-i~-
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
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TI .-. !'-"low.ino projsct 00 su...:,.. ...." ..: : .' . . .'
The ins talla t ion i~ ;>.~S!ti;.ng nmadeulO'n\)::'~j,:,; :. .,- .'E. Miscellaneous (Service/ feeder no t included)
property I own:whi~h is n9t_intended . -Each installation
for sale, lease or r~~HK:t C ( /.. __ Pump or irrigation
, . Sign/Outline Lighting
Ovner~~.ignature: \ b--C6-/(t" Limi ted Energy/Res
\ . 1\
,c,:ure -f\ V\ U mi ted Energy /Comm