HomeMy WebLinkAboutPermit Electrical 1997-11-25
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CO\'ll\'ll'C.~ ...~ ~'C.~\O~~ta 1/ _z,~CAL PERMIT APPLICATION
97477 \~()\)" - . q 7 / I}
726-3769'-~'l. Authorized Si9(,)il1lyn~unb~r. ., 6 7-
3. COMPLETE FEE SCHEDULE BELO\l
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION ,...;:f1: .
~>O, '3 ~E (' .J>--F~r ~r ) L
Ney Residential-Single or
Hulti-Family per dyelling unit.
Service Included:
. A.
. / t?Jflttlf10Ilj J-!)
Items Cost
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dyelling'
Service or Feeder ~
JOB DESCRIPTION
&vAA) MfJ61:A.F: lfr7~ t1al<...J/f2-
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
$ 15.00
DC)
$ 40.00 fro
Services or Feeders
Installation, Alterations
or Relocation:
.B.
Elec trical Contractor.D.rV(')A J FLr(.
Address'(_~ )<,!-. Ii} /vf/JfL-TVIJ
City ~~ PhoneSCfS"-24'10
Supervisor License Numb~r 3 {p/L( -5.
Expiration Date J(J-I-I:f~
.
Cons tr Con tr. Number I.tt1 if
Expiration Date '/-Jff-9'x
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
s~ 0: s,:ervising Electrician
'"'''' ;",~ ! pa<gt- !J),ISNl D
Address.6-sf)7 lJ.eo t o'.j
Ci tyC;,tJr'~~ U & Phone 12~ ~ {(Jo.~
O\INER TALLATION
"
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or yith'Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service'ifeeder not included)
-Each installation
Pump or irrigation S 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners~Signature:
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<r.Q. 0 0
L!..-OU
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5. SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
;~~~~--)-ft:i~-t0f~~-----------------
RECEIPT 111 ; (11fF~
RECEIVED BY: 'f--. -