HomeMy WebLinkAboutPermit Electrical 1998-5-18
, n
, . act as eubmltted haS the
Th€l following p'Tol not require specmcland use
zoning, and does
approval.
Zanlnp, ~
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
974 flf8.;... ~.
72~~'
1.
LOCATION pF INSTALLATION
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'Permi ts are nOli-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
-
ELECTRICAL PERMIT APPLICATION
Ci ty' Job Number q\{ Oc;c;Of
3. COMPLETE FEE SCHEDULE BELO\l
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
Ser~ice or Feeder
Items Cost
Sum
$ 85.00
$ 15.00
,$ 40.00
2. CONTRACTOR INST~~TI N ONLY B. Services or Feeders
IVOn IIJLJ.d' I I Installation, Alterations
Electrical Contracm; wr"L./!:/IJrftt<" or Relocation: ,
1::RMIT SH' .I
Address AUT~__ ~L ~)(flH:tE' 200 amps or less
, COMut;:u UND~R' IF THE We01 amps to 400 amps
C~ ty ,'aFSN(J!{)..er-- THIS ~R PRK amps to 600 amps
, A;\y tSD :" :~/o~ ,M/T /8tV{jt amps to 1000 amps
SuperviSor License Numb~~yt!iRl1::lb.~./!PONEDFOR Ov~r 1000 amps/volts
//1 __I _"', a 0 . Reconnec t Only
Expiration Date /l/ 'I'd
Constr Contr. Number 20 ,...../t/S- L
Expiration Date /dr:/-'f'F
The installation is being made on
property I own which is not intended'
for sale, lease or rent.
Owners Signature:
D~TE~--------------~-~~~~<t)~~~--J
RECEIPT #:, ' \...ll, .. ,., \\ft \ \ CJ
RECEIVED BY: \T'\JJJ,-1 ~ \\1 D
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT 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 "B"
above
New, Alteration or Extension Per Panel
,.
One' Circui t $ ~ -
35.00
Each Additional
Circui t 'or with Serv,ice
Feeder Permit $ 2.00 d, -
or
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ,ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
1/37. -
$ I. 8'S-
1 I. [I
\ 31. ?tf-
40.00
40.00
20.00
36.00