HomeMy WebLinkAboutPermit Electrical 2001-12-28
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST 726-3769
OFFICE 726-3759
ELE,- _ ,{ICAL PERMIT APPLlCA nON
Clt) Joh Nmnbel 1:;/- fJ/J '2?i3 -0 I
3 COMPLETE FEE SCHEDULE BELOW
LOCATION OF INSTALLATION
I Y B C:.hee k S-tru--t
A Ncn RC~ldcntl.ll-Smgle or
Multl-F..mlly per d\\elhng umt
LEGAL DESCRIPTION ScnILe Included
QQ..S-t~ - \-\o~fo"owlnFproIP"'IR<: <::!/hmrtfedh
tOolng and aoe~ r 01 as the fOllOWing
approval ~ I h.'4 ~Irf> specifIC land Use
JOB DESCRIPTION L ~ ~ 1000 sq ft or less
1O\~L~\ C;-.--<~, -1-, ("L.~o",ng_::::.!L Each addltlOnal500
Date '[2.= _2f5 -0 / sq ft or portlOn
Permits arc non-lrolnsfcrdb\>;oJll)f!r&W~lgnat"lt ~ 111ereOl
If work IS not started \v!thm 180 dens =,..::~: Mul.l.lfd Home or
of Issuance or If work IS suspended for Modular Dwellmg
I SO day s Service or Feeder
Items Cost
Sum
t I 06 00
$ 1900
$ 50 00
2 CONl RACTOR INSTALLATION ONLY
B SenlCL\ 01 Feeders
In~t.ll1.1hon, AlteratIons or
ReloCtlhan
Electncal Contrdctor
200 amps or less
20 J .1Inps to 400 amps
40 J amps 10 600 amps
60 I amps to 1000 amps
Ovel 1000 amps/volts
Reconnect Only
$ 63 00
$ 75 00
$12500
$16300
$37500
$ 50 00
Address
Cln
C 1 Lmpol.lry Services or FecdcI 'i
In'tdll.ltlOn, Altel..tlOn or RelocatIOn
E\.plfatlon Date
200 amps or less
20 I amps to 400 amps
(her 401 to 600 amps
Over 600 dmps or 1000 volts see
uBI! abO\e
$50 00
$6900
$10000
SIgn,ttUl L of Supenl.!llIlg Elech lU,Ul
Owne" Name -:s- e..r<'';o k..\(......
Addre" /'131 ~ S~+
D BI anlh CII CUlt'
New Alteratlon or E'\.tenSlOl1 Per Panel
Oue CHCUlt
x
$43 00
Oh Sf.-.ns~";&
Phone 1Lf7-Y'l'7~
Edch Add!t1onal C]fCUlt or \\lth ServIce
or Feeder PenUlt --A- $ 3 00 _
OWNER INSTALLATION
The mstallatIOn IS bemg made on
properlY I own whIch IS not 111tendcd
for s,81e, ledse or rent
0" ncr~ SlgnatUf("
JL.h'V'
\:OO:H3IHS\;l;J .
01. L $:39N\!H
00'09 $ !:U~3d lW\!
!OO~ 8Z 33a:31\!U
~t9LOOO-TO:#8N\!~1
~
E l\l"eellaneom (ServIee/teeder not mcluded)
-Each 111s1allat10n
Pump or lrngatlOn
Slgn/Outlme LIghtmg
LlIlllted Energy/Res
Lnmted Energv/Comm
$50 00
$50 00
$25 00
$~5 00
I\llmmum Electllc Permit In~pectlOn Fee I'" S-t5 00 + SUI dUI gc~
TOTAL
4<;0
~ 3.2.2
x~~
52. .7'0
~ SUBTOTAL OF ABOVE
7% St..te SUI eh.\rge
8'Yo Admm,,!! atlYe Fee