HomeMy WebLinkAboutPermit Electrical 1998-2-26
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"",. C land 1100 -
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225 FIFTH STREET Dat~~'_
SPRINGFIELD, OREGON 9747Jth('o'i'
INSPECTION REQUEST: 726-376~ SJgnetuf" JJ u
OFFICE: 726-3759 ~
3.
, A.
City
Phone
Supervisor License Number
9?tJ S
Expiration Date /0':'" 9 C) -
Constr Contr. Number;) /1 S' I
Expiration Date (j- ()- f ..-- 9CJ
s~uperv.'sing Electric~an
Owners Name ~ 0 A J .
AddresslO ~ (\ c-1~ 1
City~~ Phone'14-T81llf
~ ~STALLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~ignature:
"
DATE: ------g .rAln -4)\
RECEIPT I: ,,_
RECEIVED BY: ~I J ,^--
f'~(~~'
v -
ELECTRICAL PERMI'h APPLI~~N
City Job Number u.'I:::,f1tJ.......f:::)
-
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1. ~~ Ol1.nJ~~cJ
\ ~~~2f{UoND~ 1 IX)
I )~B D SCRIl\l:!, '\ ~It? J 1J 4'o~ 1000 sQ.ft. or less
---'CP. ~ 1J..\.1..J:.X.~ lS7,o l::'e. Each addi tional 500
- "tV?; J0~-Sl' sq. ft or portion
Permi ts a e non- ansferable and ~~'p'lie-Sl f11,,1' thereof
if work is not started within 1~J1~ '<'~O c5'1.!1.jlch Manuf'd Home, or
of issuance or if work is suspen~e~~~$ ~~a q{~ular'Dwelling'
180 days. '0-1 '() 0;9 ~~~ir~e or Feeder
r~$ {S> ~ ~4c-
2. CONTRACTOR INSTALLATION ONLY '$. -1~~~~ ~ Feeders
-;:)'((' Cl -r- vq In ~fp>w&iltoAlterations
Electrical Contractor '0, S L- f.( c..1 . or ,ca(t)ir~-t
";)7 ~ ,.('ao;-
Addresv row ( -,,>7 / I =- 200 amps ~r 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
$ 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
D.
Branch Circuits
I
$ 40.00 .1:0-
$ 55.00
$ 80.00
see "B" above
volts
"
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder' not included)
-Each installation '
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited, Energy/Comm $ 36.00
1Q~
,.{J~
(.
'1-"' Jt' J
One Circuit
Each Additional
Circuit or with Service
or- Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00