HomeMy WebLinkAboutPermit Electrical 1997-2-19 (2)
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726-3'7'6'9"l..f)Jj Igl1<:>..
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTAL~TION
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JRB DESCRIPTION
rO lP- 8~/Y\.-i
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContPacto~~~j)rb~~
.()
Address31 fo~ ~ Y"Nl..A. e1-J '5..!-S t- _
Ci ty ~~ Phone 3~.Lj. -d d I)
Supervisor License Number s9'tSl l:t
Expiration Date I.D-e (-((9
Constr Contr. Number (cliffe> I
Expiration Date .3/1 /<1-7
Sign~~~Sing~ectrician
(\ \ I
Ovne.l7ts Name
V
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
tor sale, lease or rent.
Ovners Signature:
-~-----n--------------------------------
DATE: ,q{a1 I
RECEIPT : /) 'j.k!t'p,;q
RECEIVED BY: - ~jllJ1Ly""
0M
ELECTRICAL PERMIT APPLICATION
-
q16V41
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Familyp~r dvelling unit.
Service Included:
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
$ 85.00
$ 15.00
$ 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" above
D.
Branch Circuits
,.
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not'included)
-Each installation
~.or irrigation $ 40.00
~Outline Lighting V $ 40.00 -'lD!..!:f
Limited Energy/Res $ 20.00
Limited Enetgy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ~O. ~
5% S ta te Surcharge -2 ' <!!::!
3% Administrative Fee /, ~o
TOTAL ~~/3 . ~o