HomeMy WebLinkAboutPermit Electrical 1998-4-24
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225 FIFTH STREET. Auth.CfBfS~'P~~'{.gIQS: IF THE ,'^'C8ltCTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 9-7-j;e.'-'_u . S NQT ,. . .
. INSPECTION iEQUES~~r~ 72AUJ~QR3J:D UNDER THIS PERMIT I 'C1 ty Job Number 9S'tJ/?7
OFFICE: 726-3759 COMMENCED OR IS ABANDONED FOR .
, . 3. COMPLETE FEE SCHEDULE BELOV
1. f4~N..Y~Jl.7)ALIAMIt>ljlO DAY PERIOD
-::? . ~/J~1fJ k# 1 . A. New Residential-Singte or
.? (. Mul t i-Family per dwelling uni t.
LEG~ DESCRIPTION _~\ Service In, eluded:
II O~ ;A~' ()(JOG o-u U Items Cost Sum
dJ nJOB DESCRIPTION .A. __. ~ "
-iV)t1#1 /U}/.)II1IJ7) ~ ~
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
Electrical Contractor, ~~E O)V ~~
Address ~,tJ,. 6tJ1<~3/!5L/
Ci ty' e"~,l/E- Phone '.31/Lf 9'fZ7
Supervisor License Number ~7'13-5'
Expiration Date I/J,j-'fg
Constr Contr. Number ,~hb97
Expiration Date 2j,../b4t::t
Supervising Electrician
,~
Ow DUIl_ MYU,.>
.7
Address ~41J 15~ VI F-4/
Ci ty . ~/rL) Phone 1L/7-.1~M
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------71-----.--------------------------
DATE: '-t.-;}-I -:.C(K ..
RECEIPT #: Urf<t Lt'l/'/ .
RECEIVED BY:I'., ~ 0
1000 sq.ft. or less
Each additional 500
sq; ft or portion
thereof
Each Manuf'd Hom~, or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation; Alt~rations
or 'Relocation:
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
$ 85.00
$ 15.00
,$ 40.00 .
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00.
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
New, Alteration or Extension Per Panel
$ 35.00. ~~(t't1
One Circuit J'
Each Additional
Circuit or with Service
or Feeder Permit . 3
$ 40.00
$ 55.00
$ 80.00
volts 'see "B" above
,.
$2.00 ~,.tJtJ
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res -
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
Lf / . (J()
, ~.00
/ : d:5
UU.. A-'V
40.00
40.00
20.00
36.00
I , ..- '-I