HomeMy WebLinkAboutPermit Electrical 1999-10-1
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SPRINGFIELD
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225 FIFTH.. STREET _ ~calli[)~!h~g;~~;~~w:J;O,\.:t,;~~:q 95~:~o{)~LECTRICAL PERMIT APPLICATION .
SPRINGFIELD, OREGON [lli't~;za..:.;u"r .. \,vott"&P ';/8 rUles bv. f\ n 'n It n
INSPECTION REQUEST: , 72~-~J:gs':;'J?,{en".. :"'i; '~n;; :;;';'une .Ci ty Job Number ~ '-'\ \.. "\~.l
OFFICE: 726-3759 ,,"u'''U lZ .. 's l-ROO_33<'~~. otlfication
>: ."'34). COMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION
"';;>:>:,55 (\./pc"o;",.U)
New Residential-Single or
Multi-Family per dwelling
Service Included:
A.
uni t.
j')~PfffdP~
Items
Cost
Sum
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular..Dwelling
Service or Feeder
r
JOB DESCRIPTION
c:Q +nn )-",'Q+ O,,~.o
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$ 15.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
. $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY .B.
I ..
Electrical contractor~~ r::(QcJtJ~
~ddress ~6l~ {)J, lYIaJ'fJ..~
~i ty U tEiJJCi ( Phone 1H5. 2440
Supervisor License Number ,,1JJILJ. <)
. Expiration Date 10/1/00
Constr Contr. Number Go(~1\Cflj
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Re20nnec f .Only
C. Temporary Services or Feeders
Installation, Alteration or Relocation
IJI'8/0:/
200 amps. 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100U volts see "B"
Expiration Date
of '~ 'leo','o'O"
",';,e jqlnard
;;l::>,:l...'') {\'\,.,o.(,,: "'~"
above
Branch Circuits
D.
..
New, Alteration or Extension Per Panel
Address
/
$ 35.00 ~5,oo
One Circuit
Ci ty ~(')(; I d Phone ,4,- G-/33 Each Add it i onal
'-,' Circuit or with Service
OIINER INSTALLATION E 1\"IE~~eeder Permit / $ 2.00 ~,dO
. .. t\\o1\C ~ E"i-I'IRE IF 01 ..
The 1nS talla t 10n 1s'iie...Bil:~.sWhLL I-IISI'E~NlIi!R~~ellaneous. (Serv1ce/ feeder' not included)
property I own whicffli~rIl"oh.~5~'di NEOr@Ach installation
for sale, lease or r~:l1\:10R ORIS/l.6/1.NOO Pump or irrigation $ 40.00
OMMENCEO Sign/Outline Lighting $ 40.00
.Owners Signature: C BOO/l.'<I'ERIOO. Limited Energy/Res $ 20.00
/l.N'< ~ Limi ted Energy /Comm $ 36.00
~~~~;~-:~-----\U!:~~-~f.)~~~
RECEIVED BY:~~
3,.00
a ,t'l'-j
I, I I
-<-/Q,7n
5. SUBTOTAL OF ABOVE
7 ~ State Su.rcharge
3% Administrative Fee
TOTAL