HomeMy WebLinkAboutPermit Electrical 1995-5-30
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rfJ'!,..,5'-:?<J - ~-_._- ELECTRICAL PERMIT APPLICATION
9~~g~;~~;~~_ill~___~ity Job Number q ~\fJ
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. ~f.TrpN OF INSTALLA1hOrL'
U 10 (2 \.. '-Xl l (j\ ~)t")
~K:~~~TIONn( _n (.oD~.
JOB DESCRIPTION
Permits are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
Address
/'
/
City
Supervisor
Expira t ion Da te
""
ture of Supervising
Rl",,"~
Oyners Name~
Address \\\olo ~ cgr_
Ci ty & \~ rL Phon;14l &f1
~ ~TALLATION
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
~rs Signature:
L:A6-8'/$~
. t~ -~----------~----~~~~-----
~CEIPT jI: L/1,"";: ~ . ~:l.c:::.
RECEIVED B~A_) . . <..J..,.;.-J
3. COMPLETE FEE SCHEDULE BELOII
A. Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dyelling
Service or Feeder $ 40.00
.B. 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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
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" alloVe
D.
Branch Circuits
"
Ney, Alteration or Extension Per Panel
$ 35.00 ...!j';./fJ
\
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
8'6.cD
40.00
40.00
20.00