HomeMy WebLinkAboutPermit Electrical 1998-7-9
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The following
ZOIling, and ~ as eublnll!
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97479are2-q~~ (jV _ ~CTRICAL PERMIT APPLICATION
72(AW{!i{jedSlgnat~ n M. Ci ty Job Number 9 ~I? 7~/
~ ,"MPJ.F.TE FEE SCHEDULE BELO\I *
1. LOCATION OF INS~LATION
<;'';,f;; ~G/V ,{Wg". A. New Resid:tial-Single or ,
Multi-Family per dwelling unit.
Service Included: .
Items Cost Sum
225 FIFTH STREET
SPRINGFI~LD, O~~GON
INSPECTION REQUEST:
OFFICE: 726-3759
\ ~~~~~fTI<M4tO
JOB ~P1(>iOl;it \"
~ \O'i'-"t"4 '-....0
Permits are non-transferable and expire
if work is not started within 180 da;=
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
./
/
Contractor
City
Supervisor
Expiration
Number
~
~
""-
Exp1ra tion Da te
...,/
Signature of
Supervising Electrician
Owners Name\lld1\Qtl RefJ1
Address C\ ~\) \ b~W\ \}ei\
Ci ty ~'f\~R \~PhO~ -4 \. \lld)
O\INER IN~T~TION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
ovne~~ ~
.;?4. .. '7~~
---------------------------------------
DATE: :?~~_~~
RECEIPT 11: ~:::>:::!.. ~
RECEIVED BY:' ~~~".
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 aIT'ps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
$ 85.00
$ 15.00
. $ 40.00
$ 50.00
$ 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 lOOp
$ 40.00
. $ 55.00
$ 80.00
volts see IIBII abovo
D.
Branch Circuits
New, Alteration or Extension Per Panel
"
One Circuit ,
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00 35-
$ 2.00 4
no t included)
Miscellaneous (Service/feeder
-Each installation
Pump or ir~igation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
....'){J . (j)
~~
.1...1
I.;; .O~
40.00
40.00
20.00