HomeMy WebLinkAboutPermit Electrical 1997-2-26
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225 FIFTH STREET ZOnirg_LJ2C.......
SPRINGFIELD, OREGON 97477 ti ..,
INSPECTION REQUEST: 726-3769~t{)J.Ct..::..t-'
OFFICE: 726-3759 Authorized Signature
ELECTRICAL PERMIT APPLICATION
City Job Number 9507& 9
~IM
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION,-Of INSTALLATION
-::l..iL17 'U"-')(nL""':" ~
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
C ~GAL DESCRIPTION ) 'lD20'A '1 JOOOD
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JOI} DES~RIPTION
1.A~ C\ 9
It ems Cos t
Sum
1000 sq. fl. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder $ 40.00
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
B. Services or Feeders
Installation, Alterations
or Relocation:
Electrical Contractor
$ 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
Reconnect Only
.
Address
Phone
City
Supervisor License Number
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
,I
Constr Contr. Number
200 amps' 'or less $ 40. GO ,
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Expiration Date
Signature of Supervising Electrician
Branch Circuits
D.
Ovners Name~\~)~
Address '2(,,"27 50, <.J.J, G:,1v-.-c.~ ~.
Ci ty ~~--JC""O. Phone 1'-\ '-\ - (~~
OVNER INSTALLATION
.'
Nev, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 2.00
no t included)
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
II Sign/Outline Lighting
atu ~ Limited Energy/Res
. Limited Energy/Comm
--c-' "-----. ..
DA~E~-~:1---j7''i~~-~~-~-----------~~B~~;~; ~~r~~~~~e
RECEIPT 11: I'J-{/.I.! 1. / / 3% Administrative Fee
RECEIVED B~'~ TOTAL
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
$
$
$
$
40.0Q
.,I.nu
[,:LO
Lf.5. '20-
40.00
40.00
20.00
36.00
,-