HomeMy WebLinkAboutPermit Electrical 2000-4-3
. submiUad has the tallowin9
The following prOject as uire specific land use
zoning. and does not req ~ /'
approval I P I~
Zoning~.
4 - -=3~ 0 V ELECTRICAL PERMIT APPLICATION
9'M'tl- M
~\Qll~lgnature - Ci ty Job Number 0n -00503 - 01
3, COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INST~LATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY .B.
Electrical contractorOl~tlcd::l/IC) IVle.
Address -VI) BOY IL!fPZ- .
City ~rHrL Phone /4I-t100
iloDlS
Expiration Date ~{)~D (-() J
;J)\lfC
j(J-D l-({q
Supervisor License Number
Constr Contr. Number
Expiration Date
Sin ofZLlectrician
~rs Name 5()B
Address ()n R~r--L 3QJfV
City
Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
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A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
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
Reconnect Only
Items Cos t
Sum
$ 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
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40,00
$ 55,00
$ 80.00
see liB" above
..
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Servi~
or Feeder Permi t d--..
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00 3L7
$ 2.00 Li
not included)
$ 40,00
$ 40.00
$ 20,00
. $ 36.00
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