HomeMy WebLinkAboutPermit Electrical 1998-5-6
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The fol~ 88 oubmlllud has the
zoning, requlre epeclllc land use
Bppl'ClOlal
~(p'?t
Date f\ , (11\
97 4 7~ 8IgnaturI.'
726-
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
N "I' T~b Number ~ R030fo
3. COMPLETE FEE SCHEDULE BELOV
1. L/~fJJO~ ~F ~~rTION
A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTIO~ Service Included:
/"lD3~S1j 0 1DO Items Cost Sum
T ON 1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular 'Dwelling 0J f3(J
180 days. Service or Feeder $ 40.00
':'" .
2. CONTRACTOR INSTALLATION ONLY ~ ~ Services or Feeders
4.'.i. A>~ U'A) ~Installation, Alterations
Electrical Contractor ~ 9"f,~'~ .'or Relocation:
/ -.,'V, .~ ~ ~r
(6 'f 2 J'~ ~ .,7-'$>.;' ~ ~ ~200 amps or less $ 50.00
-~..-,~ ~ ~lamps to 400 amps $ 60.00
Phone 7Z-'1-/~(;lO"" ~~4~amps to. 600 amps $100.00
~ 'r~ ~Y~Ps to 1000 amps $130.00
Number '1'15-.s ~ -1'& r 00 amps/volts $300.00
( ( t:> '1~e ~ t Only $ 40.00
Z 9,f', '~Q ~ ~
// C. T~,o~'y~:rvices or Feeders
i;?3j'$7 BB In~~;cl,Y~~~ Alteration or Relocation
'?s> Or
/Z/9f? 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
Address
City C~JL
If
Supervisor License
Expiration Date
Constr Contr. Number
Expiration Date
Signatu~visin~
Owners ~~e00rl1h ~Q.UD~
Address_ \..t)OHJ1J11iL1 Jimf
Cit~f1d Phone 7'l&2/7/
~ALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------~e:s~tQ-~ q ~ -----f\-;z+ 5.
RECEIPT II: (Ii. 0' ~
RECEIVED BY: tf, LCf ~ _ j
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
40.00
40.00
20.00
36.00
$
$
$
$
Pf),Cb
-'fen
.,J.40.
0(0 A.f)