HomeMy WebLinkAboutPermit Electrical 1999-1-20
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225 FIFTH STREET "&/ (1(1O::/~/& ELECTRICAL PERHlmrm.oI ATION
SPRINGFIELD, OREGON 97477 0'11" <"O~{, '>0Ir:s"6
INSPECTION REQUEST: 726,g3t~69" ir':/It"(1J, Ci ty Job Number
OFFICE: 726-3759 Or{>"(1 s.o""/~&SIJ, , .. - -
oS'~ . CO~ FEE SCHEDULE BELO\l
1. l-~ATION OF INSTAL~IPN ,~/,,'l> "s,,'lii,>o
~\~ ~~ ~.~~. Residential-Single or
Itl amily per dvelling unit.
LEGAL,D~~CRIPTION 0 Ser ce ncluded:
t1rY.:~.~~ rn~ Items Cost Sum
~~O~ESCRIPTION ~ .
~ "~ ~,')Jr f\ ^\~
y , ..
Permits are non-transferable and re
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
CONTRACTOR INSTALLATION ONLY
/
/
/
Contractor
Address
"
City
Supervisor
Expiration Date
Constr Contr. umber
""
""
e of Super~ising Ele~tr~:
( ,~.~ (\,...."'_ \ ,....h J D
Ovner~ Name \\ ~l '.0;\ \ \Ul.a) .
Address \HC), ~'lP3
Cit~~&ip~one Q~.?)1Ol
\ . ,
O\INER INST LATION
The installation is being made on
property I ovn vhi~h is not intended
for sale, lease, or E,en t;
Ovners Signature:
-------------7---1--------------------
DATE: I Z'- 11 '
RECEIPT 11: "'~2{.' y /]
RECEIVED BY:, J t:JM/
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'
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less l $ 40.00 40
201 amps ,to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see ."B" above
Branch Circuits
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional,>
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Erlergy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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