HomeMy WebLinkAboutPermit Electrical 1998-4-6
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225 FIITH STREET Authorized SlgnalUr<> r N\ -f: ~ CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 \ ~\l' ~~ ~a~ C' dOOo, 0
INSPECTION REQUEST: 726-3769 ~. :(o.~\.\.<i. -(,~I::J~ ~f:ty Job Number 7 fJ I
OFFICE: 726-3/59 "'V '" s ~~ ..,-.,\>a
~O ~~~' '0~'i ~KPLETE FEE SCHEDULE BELO\l
1. LOCATIO,,", QF INSTALLATION ~I::J ~ g.l(:.\> ()~ ,'2> .
S'l, 'VO<-- '\ A \t \t\. ~ .-<.y.,O<(l. '~X.\>A1l:.~'N~';' Residential-Single or
17()3)../Jt2:~rtr ~r Mul ti-Family per dwelling uni t.
LEGAL DESCRIPTION I w.~~ Service Included:
\-D~ ~ (\L~~V..5,{1..--~~iI) Items Cost $'Jm
JOB DESCRIPTION
W ,R...\N.r,-.. S~D ';!.<..j5,~
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
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Signature of S~lectrician
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Owners Name c....~r~c., w<2J7C?~ D.
Address OM Duc-(.Au f\
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CitySf[(\ ,~one, 5-\7""32.06
O\INER INS LLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~-----z;z~r-Jf.--~-------~-~--~---~
RECEIPT 11: f 17' -())..'13Vq--
RECEIVED BY: ~. /VI .I A A'
,
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
',r'
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 100u
Branch Circui ts
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
B. Services or Feeders
Installation, Alterations
Electrical Contractor T(~S.~t! ~or Relocation:
Address (Ole:, c.J.AUP~1 f2.ldt87LWf'f..1 200 amps or less
, \ 201 amps to 400 amps
Ci tyUJ.. ~ Phone '3ct "S;:-?'oDD 401 amps to. 600 amps
~ 601 amps to 1000 amps
Supervisor License Number ~'7~Col~ Over 1000 amps/volts
< "::) ( I q;:) Reconnec t Only
Expiration Date n ;) 3. u
Constr C~ntr. Number((')VJ '7S<;"~
Expiration Date' 9-IP<.fJP"
-;
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
S 40.00
S 20.00 -:zrr;DU
S 36.00
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