HomeMy WebLinkAboutPermit Electrical 1997-10-2
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225 FIFTH STREET zo~~~~~~. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON 97477 D^'.W-J"u..-f_ n'7. I/J..c-,
INSPECTION REQUEST: 726-3769 ~ f)o. - '~ity Job Number ~I (~
OFFICE: 726-3759 Authorized Slgn.ture w. ~ .
3. COMPLETE FEE SCBEDULE BELOY
1.
to<1\1;ION ~ INSTALI..A:I:ION
o rJ.. '::) -m. \1\\ )\0 It)
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CONrAACTOR INSTALLATION ONLY/
Elec ical Contractor
Address 1:. /
-. /
City THIS MIT~I-IALt~
supervi~YlHf?Ii!ZeoJ.lmJtlIS PERMIT IS Nn;
_', ' COMMENCED'o~/ IS ABANDONED FOR
)(1;. PHatAt'J91~Db~rll .
Constr con~Number
Expiration Date ""
'~C/)wners Na'\:t'\\t\~l(L &\~~ ,
SAddress\Q?:CS ~tt. ~~o~l ?rl
~i ty ~~ H\ Phone P&-1.21~
OYNER INSTALLATION
he installation is being made on
property I ovn which is not intended
for sale, lease or rent.
, O~O''''i~;'":;t ~
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DATE: 10-,,).-'1/
RECEIPT n: ;:)'7"S 7\7
RECSIVED In: _ -Ku,,)
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular, 'Dvelling'
Service or Feeder
,B.
Services or Feeders
Installation, Alterations
or Relocation:
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
Items
uni t.
Cost Sum
$ 85.00
$ 15.00
$ 40.00
$ 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
$ 40.00
$ 55.00
$ 80.00
see liB" above
D.
Branch Circuits
.'
New. Alteration or Extension Per Panel
I . YJC5CU. '
One Circuit ,$ 35.00 _~
Each Additional
Circuit or with'Service
or Feeder Permit $ 2.00
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
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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