HomeMy WebLinkAboutPermit Electrical 1997-6-5
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225 FrITH STREET . ::.~j~'lt7~G- -- .. ELECTRICAL PERMIT APPLlCATlr;;' .
SPRINGFIELD, OREGON 97477 ,\., , 'I" .v"'", if\ (\/\ ,(\ '^\t1.A (
INSPECTION REQUEST: 726-376'9"jQr,:.-::,~ ':'):> ':_"'-J.-\...~~-------cnY-'.Job- Number \;\ lV '-:r:-
OFFICE: 726-3759
Ir9.G..ATION OF I 1AIWION ....
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LEGAL _ DAS.CRl?IIO~ _ '
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~JOB DESCRI~k~ ,'" "".^'"
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Permits are non-transferab~e and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
1.
,2. CONTRACTOR INSTALLATION ONLY , ,B.
Electrical ContractorfYIJ4r.ftn 8JDfkvr-s
AddressaDLt, J~8W1 S-t-
City ~~ , Phone.?'LG-.-I~(Qq
Supervisor License Number t5~~ ~_
fqq}j 0
Expiration Date
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Altera~ions
or Relocation:
200 amps or less
201 ~mps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only ,
Sum
$ 85.00
$ 15.00
$' 40.00
$,50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. TemporaryServic~s or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date
Sign~~an
ow~e~~ Name '~J)\~L~.LL \loM\l
Address \\)\' '~) Ct ~).~ot '
CiIY~ ~ PhOne\t~t~'tJ.
~ALLATION
The installation is being made on
property I 6wn whi~his not intended
for sale, lease or rent.
Owners Signatur~:
DATE:
RECEIPT #:
RECEIVED BY:
~-y...7/
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200 amps"or less
201 amps to 400 amps
Over 401 to 600 a~ps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
,.
New, Alteration or Extension Per Panel
, One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each in$tallation
Pump or irrigation
Sign/Outline Lighting I
Limited Energy/Res
Limi ted Energy/Comm '
5.
SUBTOTAL UF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
40.0'0
40.00
20.00
36.00
$
$
$
$
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