HomeMy WebLinkAboutPermit Electrical 1998-5-29
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. . ' bmltted haS the: following
Thefollowil19 P~~lec\ ~~lre specifiC: land usa "
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apr.-rom!.
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225 FIFTH STREET .fA VI
SPRINGFIELD, OREGOrD~~~' 0
INSPECTION REQUEST:~ '(\fV\
OFFI~: 726-3759 _ ,', .
ELECTRICAL PERMIT APPLICATION
City Job NWJJ.ber9__5{()(~
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COMPLETE FEE SCHEDULE BELOV
3.
1. LOCAUON OF INSTALLATION
~33 "WI! '51. /" . ). A.
.. " 'l5oJlJ m{S TtWe.N II
\f1~~~~~ONOOlp{)4- ' ' ",
, New Residential-Single or .
Multi-Family per dwelling unit.
Service Included:
Sum
Cost
Items
,$ 85.00
1000 sq.ft~ or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular,'Dvelling'
Service or Feeder
I0.JOB DESCRIPTION, "
. +' &LIJ~ HpI11//iIclllr.
ttg5~ 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:
B. Seivices or Feeders
L R B bh Inc Installation; Alterations
Electrical Contractor . . ra am, . ox~~location:
, ,\~~' ~ '
Addr,ess 68 West IIQII Street ~ \~~p ~~~mps or less
. . ~~y~. tf;.~~~2'O ~mps to 400 amps
City Sprlngfle1d Ph~~~47-~~~ ~~\~~ amps to. 600 amps
, , ~O\ \- ~~ "',: f\)tf;.'(\' ~\>o~ 01 amps to 1000 amps
Supervisor License NU~O~~ ~~~+~~~ ,Co ~'?>~ Overt 1000 amps/volts
~ -.;...OY-\ ~ S) 0'<' ,- :0 Recoimec t Only
Expiration Date 10/0l/b..~ ~Cf(J ~c.~O . .
, ~~\~~ ~~ \ - C. Temporary Services or Feeders
Constr Contr., Number 086 ~~\~~ . Inst~llation, Al~er~ti~~ or R~location
Expiration Date 12/18/99 200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over ~OO amps or 1000 volts see "B" above
2. CONTRACTOR INSTALLATION ONLY
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Signature of Supervising 'Electrician
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Owners Name:;/) n nu .Je;;v/(/1I/5
Address P6, 8.0J<... ~S;A : '
City ~~. q71f77Pho~e 741 :../Q53
OVNER IN51ALLATION '
}.
D. Branch Circuits
,.
N~v~ Alteration or Extension Per Panel
$ 35.00 35,0 (J
One Circuit
Each Addi tional
Circuit orvith Service
or Feeder Permit
$ 2.00
E., Miscellaneous (~er~ice/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I own which is not intended
for sale, leaseot rent'.
Ovner~~~gnature:
$40.00
$ J.O.OO
$ 20.00
$ 36.00
~,
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35, ()O
Ii 15
I, ()S
-3:).,~()
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
~~~::~:~~~---11\~~~
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