HomeMy WebLinkAboutPermit Electrical 1994-12-8
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATIjNl,\
Ci ty Job Number G\4 \ \"tU
3. COMPLETE FEE SCHEDULE BELOV
l(()\lfrfr~F GY'lN3I& Ck111.';/nal"ew Residential-Single or
. "''-''-Uulti-Family per dwelling uni t.
f1~~2f.:~~lN~O Service Included: Items Cost
~r~~:nsf~~~exPire
.if work is not started within 180 days
of issuance or if work is suspended for
180 days.
-
2. CONTRACTOR INSTALLATION ONLY
Electrical .Contracto~-;r rb~/c.
Address If?---S';;'?- /'-?<:..-,k...-.-.-;;;Ht:r //~
Ci ty )' '/-?~'v ' Phone W.{- 'J"9ct"e?'--
PT7/S
Expiration Date /dl -/-7S-
Constr Contr. Number ?777t3'--
Expiration Date //-/:J-7<1"
Supervisor License Number
Signarrj of ~rViSing :lectrician
k'~./ ~?..,#
Owners
Address
City ~:.c1_Phone_
OVNER \N~LATION
_k~
.~Ol
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------------------r7~--------------
DATE:_ !l1:~'-'~ ~,L '
RECEIPT II:. ~
RECEIVED BY: II n
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modularbwelling
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
--d
c9
$ 85.00.
.Sum
710
$ 15.00 Cf:2
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
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
$
$
$
$
~a
_ I f/,,/vv
&rjji _ 00
40.00
40.00
20.00
36.00