HomeMy WebLinkAboutPermit Electrical 1998-12-29
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225 FIFTH STREET 0 <'0 . Of r&9~U6~itt. . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 i!tfe~'I)ll)tJ Vl&~ 60'~ '<p 11'7 c9
INSPECTION REQUEST: 726-~9, -. ~Cl.-- ec~c~1~,:Job Number 9' 0 - II
OFFICE: 726-3759' 'elulIe Oltr/~
S~I)~(;: ., 3). PLETE FEE ~CHEDULE BELOY
1. ,~OC~ION.9f INSTALLATION ~ ~~
33~ , r~ €:L-T LltvG New Residential-Single or
, ulti-Family per dwelling unit.
Se 'ce Included:
LEG'tf~~P;:~6~L//)6
JOB DESCRIPTION ,,_ _ ~
T E.tJfr,J/ '::;:::P"l ~/'2' ve~ '
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
Elec trical Con trac tor A='IVrvV{'fy t.'fa.cr.
(/
Co !u~ b{~ sf_,
Address /00 { .s G<-J
Ci ty J,., "'rP../t.,-/J
Phone Q.. 'I ;1.;J-S( 7
Supervisor License Number ;J. (; 9"/ .,s
Expiration Da,te IDA ( /D (
fit
Constr Contr. Number ~~~ 8
'7/3/79
I I
Sign/!:;2 S~ Ele,ctrician
o..J:s 0 Nambr; tfJ (\b COrp. D.
Address ~tjrr; fu fd LI Jll.ecu / AN.--
Cit;rri1#U a:" Phl:e iL/1yJ3[LJ'f'f
OWNER INSTALLATION
Expiration Date
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~
~~~~-~?J~~~~~~---------------
RECEIVED By:..... l?< c /Il/J / A (.
", ".-----...-
Items
Cost
Sum
$ 85.00
B.
100Q I A,Q,'I' t.,t, or less
EacFi\\'aWi.or!ional 500
sq 1"Hf$ F-~flMrcPBHALIt EXPIRE IF T~ WORK
thereot ." "-:> __ 5
Eacl1\LMJiQRll&:Dfl.b%QEBrThiCl reRMI IS N8f
Mo~jr~H~E~f{~lj..@ms ABANDONED FOR
Serv~c~r;(qri;g~:}}.peb' . . $ 40.00
PNV I t...d.lr\. ! ,,:Rl J),
Services or Feeders
Installation, Alterations
or Relocation:
C.
~~ ,. " a...2
200 amps or less laW rAoi\res '/9U , .00 ;;J v
201:Tt~\~:~lhe ()regon~t ~~O
40iX a!l}AAI~<.fl1lOe9 s f'J'~S are $IiOO.
60tpl,l~ml tee~OOOi~ ~ ~r. nAR ~t}Q 'b
o~lit'~ ~-OOl\>~~~ ~~~ Qi.1heS'~oo;.~'O
RErt~ ~~~ ~~v;obta\n CO\-l''''thO tele~hQoeOO
0090. :OUthe ce\!ter. ~~~t~;\i.\it ~ot\'icat\On
Tempo~t\~ 'set\1~l(9AAJwrvl'~~ 44~
Ins~~r8h4 .~l~ta~ r Relocation
cenle. '
200 amp~~T less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 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 Servic~_
or Feeder Permit ~
$ 35.00
$ 2.00
JCY~
E. Miscellaneous (Service/feeder not included)
-Each installat~on
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
CO
5. SUBTOTAL OF ABOVE 7 ~ '~
5% State Surcharge 3 ~
3% Administrative Fee 9. iJ..
TOTAL d'?7 ~