HomeMy WebLinkAboutPermit Electrical 1997-3-6
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225 FIFTH STREET -- ~"f--:,-/. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 AU;hOriZadSjgnaturo~ a r I ~(11
INSPECTION REQUEST: 726-3769' ~ehy",J.o.b-. Number \. 10 ~
OFFICE: 726-3759
.
1.
LOCATION ~INS!ALLATION
\~O'3. tr.r,,\.~
'" LEGAL DESCRIPTION
\Iiil. \. 1 ~ '3. ~"1 ~ \(') \. ~UJ
~Jt.
~&J!I~Lt/~ SeAC4;;'
erml ts a~~~ and expire .
if ~ork is not started ~ithin 180 days
of issuance or if ~ork -is suspended for
l80 days.
\ CONTRACTOR INSTALLATION O~
Electrical Contractor ~
. Addr~'- ' /
City ~ /Phone
'--
n~Number
ate "'--
~
~
Supervisor
....
Signature of Supervising Electrician
O~ners Name ~ \.V'\.J ~ /~~ "-
Address U~,..D3 r ~ oJ.':.." ~
Ci ty _ '\:\'. Phone" q I..;.,'=> ~ 7~
OVNER INSTALLATION
The installation is being made on
property I o~n which is not intended
for sale, lease or rent.
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RECEIVED BY: 11' /YltZ {h:J-d.6
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ l5.00
$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~
20l amps to 400 amps
401 amps to, 600 amps
60l amps to lOOO amps
Over lOOO ampslvolts
Reconnect Only
$ 50.00 /S'tJ,o"D
$ 60.00
$lOO.OO
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
20l amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100v volts
$ 40.00
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
.-
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or. Feeder Permit i!fIO $ 2.00 -'I tf a:J
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation ,$ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20:00
Limited EnergylComm $ 36.00
SUBTOTAL OF ABOVE / q () _ <16
5% State Surcharge q ,,50
3% Administrative Fee "'), '7 U
'J! cOnS. 20'
5.
TOTAl.