HomeMy WebLinkAboutPermit Electrical 2000-6-4
225 FIFTH STREET ELECTRICAL PERHITAPPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769Ci ty Job Number 00.. 0006'1 -:0 (
OFFICE: 726-3759
1. 'LOCATION OF INSTALLATION
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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 I.NSTALLATION ONLY .~B.
Electrical Contractor ~'.
/ .
Address
City
~e
\
Supervisor
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
. Each addi tional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alt~rations
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 Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00 -
.$300.00
$ 40.00
Constr
'C. Temporary Services or Feeders
Tnstallation~ Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
'"
. Owners Name -r (l.k-~ -S"'~ Pe.rrj
Add res s p..;:i- \ t -t.N\..+-t.........:.;~ Q. \
Ci ty SP"';,^~r..~\d.. PhoI.1e 1I.:tl"l-~~g~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Si~~J: JJ~
______________y_______________L________
DATE:
RECEIPT #:
RECEIVED BY:
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
$ 35.00 35-
One Circuit
Each Additional ,
Circuit or with Service
or Feeder Permit.
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installaiion
~ump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
. $ 36.00
-:2,5 .00
- ~.""$
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