HomeMy WebLinkAboutPermit Electrical 1998-10-13
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ZoninG Illl.... Ptofect El9
225 FIFTH STREET app,ov~. d does IlOl ~biflc.W;CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 t;ltlClIii I:li!ij q a / ' ,.
INSPECTION REOUEST: 726-3769 ZOtl/ng-lJ)fL- ~y ob Number 11 () 7 '1
OFFICE: 726-3759 Dm&-1O_,~ _~.-
---'...;L::'::C:?' 3. \--UMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLA~f(jwized Signatu
R:Js Ro., f'I+f eQ \..oa.u re
1
~Jfo~J7fJlJ~7 if) 4
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY B.
,
Electrical Contractor.LcC [&drtc 3tlC.
Add ress R 51) 1'-1 '5noflC~ r \-l ri I {)cU R&
I ;
City PA..Jq . Phone (oB Y - '1 '-t ~ tf
Supervisor License Number 41'1'-1-5
Expiration Date \0/1/ 2.6f0/
I
Ih'5Y,5
~-30-qq
Constr Contr. Number
Expiration Date
The installation is being made on
property I owp. which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~-----J7)~f-~-~~-----------------
RECEIPT #: 1 3; q~ r n f-
RECEIVED BY: 1\, ,fA_
A.
New Residential-Single or
. mily per dwelling unit.
Service n luded:
Items
Cost
Sum
1000 '~~tiA_or less
Eachr~9ai~al 500
sq. 'f'fJ~ portion
t~~~ 'Il1/r,CI $ 15.00
Eaf!J~~~tl~(:?1 it/reel ~
>>Rt?u'l:aFv(p~welhU'I1&.. 'P/Rt:
SefyJce 6-fJtJee(f~rltl.'" /~rlt....<; 40.00
., /)4 r p /'( /s .4.8 v /"'/:'R, t ~WOR.
services'or~Fe~ger1WOON~~/r/SNO ~
Installation, Alteratf~~O~ r
or Relocation: 'T
$ 85.00
200 ~~r less $ 50.00
20lJ,tdl~'&r;A99 amps $ 60.00
4Cl1o~~.r'%,sWlbamps $100.00
~ \i~0~~ 4'6B,()E?~s $130.00
O~eP. @(J'riA(ffpf;l!~~'.jqlf,. $300.00
.lhJ~4fln~!i;(j~~ r-;,o 'Y 'he b9ui_ $ 40.00
~6/' 'liE? 'Y ~6J, '0," ,sEl'lt1. v~~ EI,s Yo
Temp~~f'EIS~ ~~'g'J1fHi. 'F~Qr':..'?rr&, ~'o
Ins t~~~ep,;. (%,~~l'~&lb-E?~~'pca t ion
r,,s, ElQOI) IEl:," Of'l1 .9$<8 fO'1h
200 amps' 'oi6'~~Yt'~i EI '~EI '~I!O. 00
201 amps to 40Gi'.Jl,;;rtS\t()~:".ollq?' ,s$;,y55. 00
Over 401 to 600 aMP~}';7C~eE? $ 80.00
Over 600 amps or 1000 vo ~ see "B" above
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
C.
D.
Branch Circuits
Signature of Supervising Electrician
ffl [\O-'\I\~l~
O"'ner~ Name_f ar~.~~)()(YL
~ New, Alteration or Extension Per Panel
Address??!) 5' ^ riD
~ Q, One Circuit $ 35.00 ~S
Ci ty d_ . Phone I Jt/77 Each Addi tional
7//7 l7C/')..., Circuit or with Service
O\INER INSTALLATION I~ - 6 I ~ or Feeder Permit \
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
"
$
d
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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