HomeMy WebLinkAboutPermit Electrical 1997-10-2
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225 FIFTH STREEf'le\te /0..... ~'-w \~ ~ f.:> ~O
SPRINGFIELD, 0~~PNri9,;1l4?7.~nature fJ *~tf:, ..(t.~~.:~ $'
INSPECTION REQUEST: ne~]69 ~tr\.\"\" "y..f.:> ~tf:,\)~
OFFICE: 726-3759 O*\~ ~"s ~~ ~\)a
~ ~~tf:,~ ~:v '0~\j ~ tr~~ 3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION Of IN~T~'rtATo~ O~ '\
8't)() BELT J/Il/c ~t)~~ I'~\ctf:,\) ~~O\). A. New Residential-Single or
~~y tr~ '("" Mul ti-Family per dwelling uni t.
LEGAL DESCRIPTIO~ I c,o ~ \'C~ \) Servi ce Included:
/70 ~(~606~.,OQ\' Items Cost
JOB DESCRIPTION
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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
IBOdays .------ -.q
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor C~7)#A J.~/f/L>SCt4,tJc.rM:.
Address /4375' Sed PrlT/-iCI/1 AilE.
City 4//$ID~o Phone 6;(~- 31//
.I..; ~ k CJ ~ I E!!.Jyr'(J~ I..JS ~ n
Supervisor License Number
Expiration Date
Constr Contr. Number 5lr1t3
Expiration Date ~- C;p
Signature of Supervising Electrician
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:J D.
Owners Name MQ.~ZJ/;: l11tLr/c.e.r r'~ ..
Address,~ 6a +-/, 'JtA- !(~~
Ci ty .c;1Jy','It~.r;.t.PJ Phone
- I (
0'ilNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent. '
Owners Signature:
, DATE: )IJ -dJ.. - Cj 7
RECEIPT #: d<7?J~~ .
RECEIVED BY: ~
225 FIFTH STREET
SPRINGFIELD, OR 97477
(541) 726-3753
FAX (541) 726-3689
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 970 qlg>
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
B.
Services or Feeders
Installation, Alterations
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
$ 50.00
$ 60. 00 .
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or. 1000
$ 40.00
$ 55.00
'$ 80.00
volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation --J-- $ 4Q.00 ~.~
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE -1 ~ .
5% State Surcharge .:l~
3% Administrative Fee l ~
TOTAL 43.20 -