HomeMy WebLinkAboutPermit Electrical 1997-9-22
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225 FIFTD STREET Zoni"9_Ldj/ ELECTRICAL PERMIT~PPLICATIOO
SPRINGFIELD, OREGON 97/,77 0.'.9-=2.1.:Z . (\\A\
INSPECTION REQUEST: 726-3769'- Ci ty Job Number - \ ~
OFFICE: 726-3759 Authorized Slgnalu 0 n Yl.-1
-1:--00MPL-ETE-FEE- SCUEDULE BELOY
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started 'vi thin 180 days
of issuance or if,work is suspen~ed for
180 days.
2..- CONTRACTOR INSTALLATION ONLY ~~O~ n.
-t '!rs> ~
Electrical Contractor I=-V,o/V"i"'VI'.7~;:~t:...
'u~ 'Q~~
Address_/~n ').-??I'>'/II,(lo.,",. '!~ ~~. ~~ ~Ol 200 amps or less ---L- $ 50.00 :500()
11>0 .'tJ '(.,o~ ~ 201 amps to 400 amps $ 60.00
:<'(,I~~-d ~ t'(<<,:40l amps to 600 amps $100.00
':0 ~.(, ~ 1lilll amps to 1000 amps $130.00
J.a..q.:l S~. O'-t ~"O~ 1000 amps/volts $300.00
-va ~~ c(~ec t Only ,$ 40.00
Expiration Date //J J I/q t? ~ l2 ~
/ . c.O~~r~ Services or Feeders
Constr Contr. Number ..;1c>-oZ~{) C. ~t~at9;on, Alteration or Relocation
0'9 OJ'
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"; a~_ove
1.
LOCATION OF INSTALLATION
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LEGAL \.1\~~~A\
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Ci ty I::~(UPNP Phone
Supervisor License Number
Expiration Date /y/c; 7
Signature of Supervising Electrician
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Owners Name.s..2)o""NNt" S' <..4;UJl/t)fi( {.)
Address .c/~{C,\ :J3/1NNeR ST.
Ci tY_I= /f>j~NP Phone (17 (Jq- /4''97'
0\INIb{ INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, lease or rent.
.
Ovners Sienaturc:
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RECEII'T II: ~ , . 1\ .1.!'V"'-
HECEIVED BY: rl'\\\'\l'ro--J - n.: "\ \ )
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf' d Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
D. Branch Circuits
New, Alteration or Extension Per Panel
E.
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit --1-- $ 2.00 ~
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
$
$
$
$
e::.? ,00
2..~O
--' . /11,
51, .IUi
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
51. State Surcharge
31. Administrative Fee
TOTAL