HomeMy WebLinkAboutPermit Electrical 1997-9-18
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Authorlzed signature_AM
225 FIFTH STREET
\
SPRINGFIELD, OREGON
INSPECTION REQUEST: .
OFFICE:' 726-3759 ,
1. LOCATION OF INSTALLATION
./~2-0 . ~ ~
NOTICE: i
\ . THIS PERMIT SHALL EXPIRE IF THE WORK
AUT'HORIZED UNDE.R THIS PERMIT IS :&~TRICAL PERMIT APPLICATION
974 7~OMMENCED OR IS ABANDONED FOH '. - .
72~"~V~%ODAY PERIQD. Ci ty Job Number, q l \ ~ q I
If~onz~/I[!r.- ()J~)"()O<
JOB DESCRIPTION
~..J.; Q. LL-lj
. Permi ts are non:...transferable and, ex'pire
if work is not started wit~in'180 days
. of i'ssuance or if work is suspended for
.180 days. .
2. , CONTRACTOR INSTALLATION ONLY B..,
'Electrical con'tractorl~J2-. ~.
. Address lOr ~ ~. d~ ,
Cityf~~ Phone 72-f--/SCfli
superVisor~icense Nu~ber . y>tlS -!; ,
,IVi6
/
63/3.7
/Z;/ 9~
r
Sigflat~:vis~ian .
I '
Owners Name '~ ~..,o.. D.
/-
. Expiration Date
Constr Contr. Number
Expiration Date
Address
City .Phon~
OWNER INSTALLATION
The instillation is being made on
property, I own 'which is not> intend'ed
Ifor sate, lea;se or ren t.
'Ovners Signa tu~,e:
.. DAT~~---~--1~7:OC~-------------------
RECEIPT#: .. ~., LI--:"~ !
RECEIVED BY: -\<W
3. COMPLETE' FEE. SCHEDULE BELOIl "
A. New Resident{al-Singl~ or
Multi-Family per. dwelling unit.,
Service Included:
Items Cost
Sum
1000 sq.ft. or l~ss
'Each aqd it i on.al 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services .or'Feeders
Installation, Alter.ations " ~^
ot Relocation: ~ ~ - ~7-"""'"
200 amps or less (. $ 16.00 S;O
201, amps to 400 amps $ 60.00
401 amps to 600 a~ps $100.00
601~amps to 1000 amps $130.00
Ovei 1000 amps/volts $300.00
',Reconnect Only S 40~00.
C.' Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT' less
201 amps to 490 amps
Over 401 to 600 amp?
Over 600 amps or 1000
S 40.00
$ 55.00
.$ 80.00
volts see "B" above
Branch Circuits
New, Alter~tion or. Extension Per Panel'
One Circuit
Each. Additional
Circui t 'or wi th Service
or,Feeder Permit.
$ 35.00.
$ 2.00
E. ' Miscellan~ous (Service/feeder not inclu~ed)
-Each in$tallation
Pump o~ irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.0Q
5. SUBTOTAL OF ABOVE ':;().~
5% State Surcharge _,.~~
3% Administrativ~ Fee " rD
, TOTAL 4;l':-
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