HomeMy WebLinkAboutPermit Electrical 1997-4-23
. bmitled h"" tho 101l0wln9
. The following pro1ectt a:qS~~rG cpecilic land use
zoning, and does nO r I . .
approval. j'l
225 FIFTH STREET Zonlna C L- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ':') rrl7 J A ViII /J
INSPECTION REQUEST: 726Ji3'l69lcJ.(1 f1 flUY l City Job Number '-11(JCj~7
OFFICE: 726-3759 . AuthortzedSignoluro .
. 3. COMPLETE FEE SCHEDULE BELOII
1. LOl~T~~ O~~N~T~WON
.LE<jyt 8~cr;g:$J~~N OIO(fn'L .
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Permits are non-tVansferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
.2. CONTRACTOR INSTALLATION ONLY . .B.
Electrical Contractor mfi}V-fin f3rz>+rwt-S
Address aoLf 3e+-feyXv'Vl Si-'
City W ~ ,Phone 34-d--IlLoQ
Supervisor License Number 55~ :;;"G-. .
/qqB (j
Expiration Date
. A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
unit.
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 .amps to 400 amps
401 amps to. 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only .
$ 85.00
$15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary.Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date
e~ian
Ovners Name
Address
City .Phone
01lNER INSTALLATION
The installation is being made on
property I Qvn vhich "is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: V'::c..'"3' -"? :>
RECEIPT I: .-;7~ Y'"36
RECEIVED BY: ~ ~~ _
200 amps. 'or less
201 amps to 400 amps
Over 401 to 600 a~ps
Over 600 amps or. 1000 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
Nev, Alteration or Extension Per Panel
"
. One Circuit .$ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/OiltlineLighting
Limited Energy/Res
Limi ted Energy/Comm .
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
. 3% Administrative Fee
TOTAL
40.0'0
40.00
20.00
36.00
~
$
$
$
$
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