HomeMy WebLinkAboutPermit Electrical 1997-8-15
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
ELECTRICAL PERHIT~PLICATION
Ci ty Job Number U{ 1 lrlG
3. COMPLETE FEE SCHEDULE BELOV
1. ~~ft30N ~~ ffi~~~~TIJON
( f1lffd{~PV!\4ll)
,> f .
h._ JOB DE~ TIPN 1\ (\ 1 1\ Il{, ( k\ ^^......~1000 sq. ft. or less
:JJ\)\~O_l V" A-N \N~ ' \ \llUJ' ach addi tional, 500
. . sq. ft or portIon
Permits are ~ransferable an expire thereof
if vork is not started vithin 180 days Each Manuf'd Home, or
of issuance or if vork is suspended for Modular Dvelling
180 days. Service or Feeder
2.
CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor ~ )\'\dpy<:.,
Address 1'15 Ma.rl,~C\{1
Ci ty. ~uJen.p Phone a.<KS-O<f??
Supervisor License Number 2.. q'1-0....S
Expiration Date
10-1 -q~
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Cons tr Con tr. Number '20 -r 1.C
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
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
Items
Cost
Sum
B. Services or Feeders
Installation, Alterations
f:\ec.:t1fi"c..1ytor Relocation:
l
$ 85.00
$ 15.00
$ 40.00
$ 50.00 '- t:()
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Expiration Date \O'I-ql- 200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
-----------------------~----7?--------
DATE: I n ~lC) .vt7 '
RECEIPT #: ~d\ . . '.()~
RECEIVED BY: tJ \v)1 ) f'ofu\'/
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith service__~.
or Feeder Permit ~ $ 2.00
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
'cO
4.
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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