HomeMy WebLinkAboutPermit Electrical 1998-4-13
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Z',- . '~, and does ~ot require specific
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ELECTRICAL PERHItAPPLICAT~ON
Ci ty Job Number <(/)L A/2J
1. LOCATION OF INSrAL~1;IONi
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LEGAL DESCRIptION
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COMP-LETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
.n. Services or Feeders
Installation, Alterations
Electrical contrac~~r~.~~~,J:n~. or Relocation:
Address \'llO 0~Kf>.~':'.clZb. 200 amps or less $ 50.00 ,.
. - ~ R .'" . 201 amps to 400 amps $ 60.00
City ru&e:Nt::::: D ~.~~h)0-SS4{P 401 amps to 600 amps $100.00
. 04t. '~~'>;"'. .-, 601 amps to'1000 amps $130.00
Supervisor Licen~pu~~..";'~"":l5"~C.LS Over 1000 amps/volts $300.00
E~piration Date 1z..,(,.',),_.~_,.J._.'_I~'.':qt:. '."-'.)~"'___' Reconnect Only $ 40.00
_ -. __ C'? !4/Jemporary Ser~ices or Feeders
Constr Contr. Number ~_ _I.~.l_,~". ~ce-:' .'~n;stallation, Alteration or Relocation
Expiration Date 2-1 q~(jrlt;I:I?Ii.;,/~#) '-f7'/~:2~0 amps"or less $ 40.00
, (,b..MAA......~I.:.>~ U/"f,.q1.1. 201 amps to 400 amps $ 55.00
Signa ture of supervisinHil#eCllfJV'6c1{W.t1tD I:*p/Iy, Over 401 to 600 amps , $ 80.00
/J /" . 180 ~DOR 'C/y rli, ~r 600 amps or 1000 volts see "B" above
/ f/ /.~./~. _ /S"I 1'$ p~ J.;I: M/.
r L. . 112. .II~B/tnr, e,.q~Q D~r~F(~cui ts ,"
O....ners Na~ l;~S ~ 112.~V7~ l:!:::;: , ~I:RI'~~O~ration or Extension Per Panel
Address '~~LJ ~~ 'J V~
One Circuit $ 35.00
Ci ty c;r fG,-. Phone 14!P,..;.-'75 {J}--tY Each Addi tional
Circuit or with Service
.or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
JOB DESCRIPTION
SUr\) lA-lr to ~\ t..-~ \,\C A:U.- $-~
(c..oL.-D \j\/ ~ BAN \L.b\J2-) .
Permits are non-transferable and expire
if ....ork i& not started within 180 days
of issuance or if work is suspended for
180 days.
2.
CONTRACTOR INSTALLATION ONLY
OWER INSTALLATION,
"
The installation is being made on
p~operty I own which is not intended
for sale, lease or rent.
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Owners Signature:
DATE~-----------------A---~7\~~Cf~-~
RECEIPT #: \ y- 4" I\r) 1 \1 \
RECEIVED n Y : ri'\ \ .I 1\ \... .J0t'\~ \V
v ~'~"'-, "
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
Sum
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$ 2.00
not includ-e'd)
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$ 40.00
$ 40.00 i\-f)pO
$ 20.00
$ 36.00
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