HomeMy WebLinkAboutPermit Electrical 1997-9-18
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SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
N01Ie~:
THIS PERMIT SHALL EXPIRE IF THE WORK
MffiIQRIZED UNDER THIS PERMIT IS NOT
.' ..ELECTRICAL PERMIT APPLICATION
974 VJMMENCED OR IS ABANDONED FOH
72600~go DAY PERIOD. City Job Number q 7 1?::>'1 {p
3. COMPLETE FEE SCHEDULE BELO\I
LOCAT~.9N OF IN~ALI1']'ION
/y~< .A0CT
" / fbj ~S~f}~N_ /.5 00
1.
JOB DESCRIPTION
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Permits are non-transferable and expire
if york is riot started vi thin 180 days
of issuance or if york is suspended for
180 days.
Z. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~ ~ ,
Address /0 cf2- ?~ ~
City ~~ Phol~7~/ScfV
Supervisor License Number 9~~5
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Constr Contr. Number ib;;-3f'37
/2/1'1'
I
Signa~~pe~~trician
Ovners N!e ~ ~
Expiration Date
Expiration Date
Address
City
O\INER INSTALLATION
Phone
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: '1-\~-'\1
RECEIP!' 11: ;.J..74,?t
RECEIVED BY: Kl.c.J
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation: 4 ~-
zoo amps or lest I
201 amps to 400 amps
401 amps to 600 amps
601 am~s to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 85.00
$ 15,00
$ 40,00
$ 50,00
$ 60,00
$100.00
$130.00
$300,00
$ 40.00
Sa
C.
Temporary Services or Feeders
Installation, Alteration or Relocati ,n
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00.
$ 55.00
$ 80,00
volts see liB" aDO,
New, Alteration or Extension Per Panel
$ 35,00 3S-:
I '7. ---
$ 2.00 t_ c.-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36,00
D.
Branch Circuits
One Circuit I
Each Additional
Circuit or with Service,
or Feeder Permi t !?
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