HomeMy WebLinkAboutPermit Electrical 1998-2-26
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225 FIFTH STREET oaIJ ./ I.u -4~ .. I
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SPRINGFIELD, OREGON 97477.uthortzcd g.......
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LQfATI~/INSTAL~ION
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LEGAL DESCRIPTION
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C~~PTION _ \ I~
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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
R! r..c.mrCAL PERMIT APPLICATION
City Job Number 9'7/75d-.
3.
COMPLETE FEE SCHEDULE BELOV
. A. New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Electrical Contractor Tiff.; '~~
Addressl079 1/~1 21/~ L.i&f
City C.U{., O~ Phone52{l- 3'(~ ~
CIY7 ,90 7f1
,Supervisor License Number
Expiration Date R- qf)
Constr Contr. Numberf:O 75Z>t51
Expiration Date If'- q..{?
Signature of Supervising Electrician
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Phone. c.,cPd- ~EA
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Owners Name--/-IVV\
Address c?::f? Pi)
CitY7JIl to
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-~j1~ZI~l'?2?~--:---------------
RECEIPT Ii: u). X 1 d-4 .
RECEIVED BY: I). i VI r.JClidJl U
Items Cost
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
,B.
Services or Feeders
Installation, Alterations
or Relocation:
Sum
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00 -. ,
Limi ted Energy/Res I $ 20.00;?U.<.I '-'
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE /)i) . {JV
5% State Surcharge i. 0 u
3% Administrative Fee . {/J.n,
TOTAL /1-. /. 0 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00