HomeMy WebLinkAboutPermit Electrical 2002-10-1
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELEC ...lCAL PERMIT APPLICATION
CityJoh Number CJ/ - t}O$~'!~;~::~~
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3. COMPLETE FEE SCHEDULE BELOW
1. LOCATION OF. J'STALLATIQN +.........
7 768 SCl^J -+11\ A 'C<:;rr~~_
A. New Residential-Single or
Multi-Family per dwelling unit.
Sen'ice Included:
LEGAL DESCRIPTION
/75 :2 tV See. 3(,
Items Cost Sm:n
JOB DESCRIPTIpN
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[~ sL IL
1000 sq. ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
$ 19.00
$ 50.00
2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
b ' t Installation, Alterations or
Electrical' Contractor K",-dl\.. ~Ow pc. w..p Co TIJC. Relocation:
Address 37111 'L)41C4A ~\c>-",,--i ~
Cit)lie<i\~~Ii\.{ H ~tt Phone 7cJ.s
NOTICE: "
THIS PERM~lP~Mi.M..r[~sa.~J!fu1f~f
~ifS:~f&~1\\R~~~'
ANY 180 ~ftF8!Qg..Number.atq'7 g
Expiration Date /~II / (3::L .
{ ,
Sigll'/I'el'SUI~e5SiVlectriciall
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A~~~,::;N4~'f~ I~~~~D
::N:~:2J~c (, (J t. - /'17 7
Over 401 to
Over 600 amps or
"B" above
Branch Circuits
New Alteration or Extension Per Panel
One Circuit
$43.00
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
E. Miscellaneous (Service/feeder not included)
-Each installation ~
Pump or irrigation I $50.00.s~
Sign/Outline Lighting $50,00
Limited Energy/Res $25.00
Limited Energy/Con1Ill $45.00
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
TOTAL
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,;:;7 5 c
4. SUBTOTAL OF ABOVE
7% State Surcharge
8% Administratiyc Fcc