HomeMy WebLinkAboutPermit Electrical 1999-10-20
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225 FIITH STREET OO'Z~n!n'g'~' :-:-:.;." i:;~'>'" N;"yq: ; '.)~-ELJ;:CTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGOtba?.74f1111~ .:- .1-l:'::':;Ln,:: ~' :,'~ ;W,e:; by t7J '
INSPECTION REQUEST: IZ6.!J3;;>691:l7\';1'::C,:~,::11 :'~''):;C?ity Job Number ,'7)1/ S /
OFFICE: 726-3759 Autnonzed Slge\~"~,..~, "'0: ."" ,\ Dii:'icatiJ:"
,,"'3:""'COKPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATIOijl
2~7 nEJ'fLJMAIVe7f A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
116)/'\4", 0/700 Items Cost Sum
JOB DESCRIPTION I 1000 sq. ft. or less
(;4,.ul~ /"4-../' Each additional 500
.7 ,sq. ft or portion
Permits are non-transferable and e~(rp'C:E' thereof
if work is not started within 180 ~y~ . Each Manuf'd Home, or
of issuance or if work is suspended~PERMITS~%t~~ Dwelling
180 days. AUTHORIZEDUNB~RTH;s:~
2. CONTRACTOR INSTALLATION ONLY ANCOMMENCBOOIS~mf{Jh""^~RWJ~~T
Y 180DAYPJ:d9-lHalT.rRJW;l F/ilR era t ions
Electrical Contractor(\.+4=-,Rech:ir, Ire, . -~elocation:
J '
Address On 60)( 14'0.:)...
Ci ty ,<;rf-Id Phone ILl 1- 2;z...3!P
Supervisor License Number ~~I<;
Expiration Date )()-()(- 0 I
Constr Contr. Number JDI4 G
Expiration Date IO-OI-qq
Si~u~e of ~erViSing Electrician
u.L ..-1.
O"s Name .
Address 2f7
Ci ty <; /1 (( ,(
i
('6/vddA-O
(}J MGN/
Phone fff-1Y 7 7
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent,
Owners Signature:
D~TE~-----------------------/~-r~~-~-
RECEIPT 11:_ ru S 7<;; I (J , / /
RECEIVED BY: .....Y 'V,.,y-
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
$ 85.00
$ 15.00
,$ 40.00
I
S'D
$ 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
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 liB" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit (
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
L
not included)
$ 40.00
$ 40.00
$ 20.00
"$36.00
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