HomeMy WebLinkAboutPermit Electrical 1999-11-10 (2)
The tOllowlng project as submitted has the following
ZOllmy ana does not reqUIre specific land use
, f' appruval. L m ~
Zoning .+
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7.Ui~1.6'S,gnature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~.
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ELECTRICAL PERMIT APPLICATION
City Job Number qq I.~ I I
.
COMPLETE FEE SCHEDULE BELOV
A" New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
('. \ JO~ DF;Sc;ij.IPJa<<~ Ofh' 1".' , .J .11 1000 sq. ft. or less
_}.J ( ( (r 'uv [J I i rJ../ll t~Each addi tional 500
, sq. ft or portion
Permits are <<on- ransferable and expire thereof
if work is not started within 180 days Each Manuf'd Home, or
of issuance or if work is suspended for Modular, 'Dwelling
180 days. Service or Feeder u ,$ 40.00
. -, ... ......'......~ 1_' -'1UIfl.:~VULltt
Inllow rlllA~ 'lOCII)tP.('I b th 0'
Services. lor ,Feeders v e reqon Ut..,ty
InstaJl'HipI)l/ At.i,er~~tions~f If::> tnrtl,
or <!\elocation: ' tiLl" U~, ,j~-O(11.
-", ""'''' "t.
. "'>".' ) ,. ..,rl:sby
200 Cc" '1" , ,
,amps or ess' ,I, , I", $1-50~00
201 a'Mp'MtJi:;i" 400 llimps:; l-IIII,V l~c$fI6Pi"QO
401 amps 1:0,"600' amps' ':''''. "'44$,100. 00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~
Addre~s Vo lhO'i 1l..J$2.-. ,
City~
Supervisor License Number
Phone~~~~'
lltf()lS
Expiration Date 10-01-[) I
Constr Contr, Number ~\Lb~
Expiration Date ID~{)(-C{0
Si t re of Supervising Electrician
. 12-A-
Address Jq5 I nDn stn
Ci t~H Phone -0-& -OIOD
ob a~STALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DA~~~------~iT~--:--~---------
RECEIPT II: ~
RECEIVED B'y: Y "'1.I:J:M/L--.:.. "
Items
Cost
Sum
$ 85.00
$ 15.00
Temporary ~9Avices or Feeders
Installat~oW~~ration or Relocation
l-J/Sp :
200 amps~~~~~/~ $ 40.00
201 am~:A6' ..i!m~4L....- $ 55.00
Over 40 '116 1 I8lil _ '~~ ~XJ $ 80.00
Over 6 )af8}'v#JJf)f,~~lYfi~";'.B" above
V04f- lJl(jA~~lsp~ 'rf~111
Branch Circui ts P~IY/OO 484NOa lTflvftr/S 91Y1f
, . 'IV~DJ::. NOr
New, Alteration or Extension Per~ne1
C.
One Circuit
Each Additional
Circuit or with Servi~
or Feeder Permit -,
(
?b.oO
fLQO
$ 35.00
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL '
40.00
40.00
20.00
36.00
$
$
$
$
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