HomeMy WebLinkAboutPermit Electrical 1997-3-25
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The following project as submitted hos tho follo\'ling .
zoning, and docs not require specific land u::o
approvDI.
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ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
City Job Number~: [../\;)0
3. COMPLETE FEE SCHEDULE BELOY
1. LOCATION OF INSTALLATION
~'2" Le.utu. c;:.('"
A. Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
J11;:~:i000.s CfOO
Sum
Items Cos t
$ 85.00
1000 sq.ft. or less
Each addi~ional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular. 'D~elling
Service or Feeder
JOB DESCRIPTION
$ 15.00
Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
,B.
Electrical Contractor ~ <:: ;._~
Address ~7..::X u..u.., ~
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to' 1000 amps
Over 1000 amps/volts
Reconn~ct Only
Phone ':)<{I J en! '-;:i~
Ci ty .l::.\.\'.bN '-1
Supervisor License Number ~~\~~
Expiration Date Jc?/I,,/t:)c;
Constr Contro Number OCb<t 9'1...\
Expiration Date /OJ I [qo;
Temporary Services or Feeders
Installation, Alteration or Relocation
C.
$ 40.00
$ 55.00
$ 80.00
see "B" above
200 amps' 'OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
dye O.f S~~0;Jtrici=-_
O~ners ~dnh A-CJD~LS D.
Address 1 ~ (03 U1f.iL1i <C:;trur
Ci tySpr; nil" RPJ.hone iL(7 - L.ffl (
OYNER IN LATION
Branch Circuits
"
Ne~, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or ~ith Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00 Lg).oo
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
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5. SUBTOTAL OF ABOVE Z.oO
5% State Surcharge \ .'2-0
3% Administrative Fee
TOTAL <./?'.W
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
~~~~.~-:~3tl2lnzrr:------------
RECEIVED BY: '-? . Ylr,~