HomeMy WebLinkAboutPermit Electrical 1998-2-20
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V I I ,and does' ' ..........
approval. ' /'Ol require specific land use-....1fiJ
, ~ZOning. ' r, (l )
Date I 1ft 0 . NOTler.:, EXPIRE \r THE WORK
. . . ,"'., ,.ff SHALL . "I'1.C.l\.IOI
225 ~I~~~ (\ \A/\ TH b ' " UNDER THIS P~CTRrC'.lU. PERMIT APPLICATION
SPRINGFIELD, ORE~ '1 n. '.- :.ED ONED rOR q (7 () / ') 0]
INSPECTION REQUEST: 726';'3769 1'''0" . ..,: ~~~('ED OR IS ABAND C1 ty Job Number 6 /- {
OFFICE:' 726-3759 C ,.Ii..',. J 0
.)A '( p~~IO COMPLETE FEE SCHEDULE BELOY
ANY',
1 ~ LOCATIgN, OF INSTALLATION - :J
, 13 '-W BeLTLtlJ C- f:vik, ;;"6_
r1~3~068~v()o
JOB DESCRIPTION '.
TE:p.JI'tj\lT r",,4.f'~v~P~') tl-lr
Permi.ts 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 ':t=iJftf-ltr(' E~eC~
Address /00 { S LV (0'(;'/ I/~{it 5"'1".
Ci ty P Of?. TL.ti /1.-1) Phone ~ bq 6533
Supervisor License Number ~<o '87$"
Expiration Date j Dl<-] (1
Cons t r Con t r . NumberS'/- .~ f..e 1- (
Expiration Date /0,1 J 11j<j'
Signatu7f of Sup~ising E.lectrician
{Jcuf, ~10~v'---
owne~ame S(C.fN I(B If /:Je.v
Address 3LfOC; &1Jdu.- V!'luJ
GitySfrf('Qj; WJPhi/.e 7rj(P-'fJJl/4
OVNER ~~ALLATION
. A.
New Residential-Single or
Multi-Family per ~elling unit.
Service Included:
1000 sq.ft. 6r less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
.B. 'Services or Feeders
Installation, Alterations
or Relocation:
200 amps or les~
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over ,1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
. $ 15.00
$40.00
I
__ 00
'""6-
-./
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services. or Feeders
Installation, Alteration or Relocation
"The installation, is being made on
property I own whi~h is not intended
for sale, lease or rent.
Owners Signature:
~~~-:~~t;l~~~~~----------
RECEIVED BY: 'It' l .
200 amp~.or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,.
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
. Pump or irrigation
Sign/Outline Lighting.
Limited Energy/Res
Limited Energy/Comm
One, Circuit
Each Addi tional .
Circuit or with Service
or Feeder Permi t /5
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Admiriistrative Fee
TOTAL
$ 35.00
$ 2.00
':;16 0 ,,;;
....)
not included)
$ 40.00
$ 40..00
$ 20.00 .
$ 36.00
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