HomeMy WebLinkAboutPermit Electrical 1996-12-13
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225 FIFTH STREST 1'n.e,\O\\O~~d doeSjO 1 I 1l!Lt ELECTRICAL PRRHIT APPLICATION
Sl'RINGFIELD. ORE:GON 9747-7,~~~~~al. ~ y.-P _ qr. (fll/" I
INSPECrION REQUEST: 72{j';.3769zo., In ,I /lCjty Job NUlIlber VJ lL/lV
OFFICE: 726-3759 It'. .-t. \II/l J.)/~
nl"'.J.,,- - LP!J1.C'6~LBTE PEE SCHEDULE BELOV
L LOCATIW Or INSl'ALLATION ..Ac..d 5"",,0IU'0--
3~~D K/tlFI6I?tl.Jt)(}f)>ln'fll/e ' A. Ne... Residenthl-single or ,
'. , Multi-Family per d...elling unit.
lJ;GAJ.1.ESCRIlTION 1I.on Service Included I '
.l~tU 11-1"> 19) "1 vu Items Cost Sum
, ~OS DESCRIPTION /)/1. 'AL~ ...... 1000 sq.ft. Or less
, 'Ie tA)IN.tJ lUrlt11nf/f:QJ SlOetl/c.e..Sac:h additional 500
It..-' ::;z, · sq. it or portion
1V 1/ S ..permi ts are non-transfE!rable and expire ther,eof
if ...ork is not started....ithin 180 days Each Hanuf'd'HDme or
of issuance or if....ork is suspended for Modular Dvelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders'
L I/J JR 'Ai l Installation. Alterations
Electrical Contractor ,r<. L7A?~I.1~~c:-'or Relocation:
K.
Addresshf tII. "f)" 5/){....
City5fJf/~. qi177Phone 7tf7,f::63J
, -- - -
Supervisor License Number 1'1- 7.3.s
EXPi:ation Date /0/1117
Constr Contr. Number oFhtf1
Expiration Date 100;I,I~~b
Si~a~e of S.Upervising Electrician
~-'- ;/~~
o~ners N~eYiiA'L /,A)(}O/J/o/
Address 6MO ;(lJIeI6haJtJtJ.IJ
Cit,;5fJ Ifd. tJj7t/77 Phone 7'11'67.$.1
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OIINER INSTALLATION
The installation is being made on
property I o...n vhich is not intended
for sale, lease or rent.
.
Owners Signature:
-----------------~-----Irl~-------------
DATE: _ _ )"2. r 1 ~ rVlNJ . .
"-C.,,&:.J.t'1' 1I: q..uOAA
RECEIVED By: Jy)
..4_______0.. - -- ...........
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 . /
S 85.00
$ 15.00
$ 40,00
$ 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00 ~t)
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100v vOJ.ts
D. Branch Circuits
$ 40.00
S 55.00
S 80.00
see "S" allDve
Ne.... Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ...ith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or itrisation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
" ... _. ....,_.;::,. l.:". . I
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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