HomeMy WebLinkAboutPermit Electrical 2000-6-10
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d< "unbe' .ou seop pua .'6UJl'EECTRICAL PERMIT APPLICATION
97477 <'l~l' QU1?1 :)llIO'" ~ ;U,.lqns bB peloJd 6U!MOIIOl ~lU.. .'
726'-'-'3''ffl9'd41'Bue II. City Job Number Ci''1 - 0'13'7 -0 I
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, .OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
LOCATION OF INSTALLATJ;ON I
(n~<:? :JY" S~
LEGAL DESCRIPTION I
I <;( 0 ^- O?' I t..I I.J/) 10 cr1:> ()
JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractorC~()1,(!( au~;,,--
Address {J. 0 I ~o^ 2~ <.(
City~,;dt Pho~e'7t{Y-O/O r
Supervisor .License Number )G~G-~
Expiration Date /iJ /iolo v
, C.
Constr Contr. Number 2. "l"l- C
Expiration Date /U/IU IUo
1
~~tLe C:::;;/Electrician
Ovners Name \)~'" ~I<u"'f'....
Address :'0 "l 'b ~f.,. ~
Ci ty L ~ Phone
O\INER INSTALLATION
1'0"\ - it;;I."]Y
The installation is being made on
property I own which is not intended
for sale, lease or rent.
61:0: ~3IH8\!::J
:39N\!~ers Signature:
08'~8 $ 6:a::J3~ lW\!
0006 61 ~nr::jIHn
~6660GO-l1r.13N\!~t----------------------------
DATE:
RECEIPT .11:
RECEIVED BY:
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular'Dwelling
Service or Feeder
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 50.'--
$ 60.00
$100.00
$130.00
$300;00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Ci rcui ts
$ 40.00
$ 55.00
$ 80.00
see "Bll above
"
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
:xt.
;..--
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE ,C6.-
7% State Surcharge "'.4 ~
3% Administrative Fee d. oM
TOTAL f( S . <I'D