HomeMy WebLinkAboutPermit Electrical 1995-1-24
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SPRINGFIELD
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225 FIFTH STREET " Ire sPoeffic 1.~tAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning L-DI2- d .
INSPECTION REQUEST:, 726-37'69~ ~ City Job Number Z 4/11:5
OFFICE: 726-3759 Autno'"
,,zed Sj9n.tu'e~COMPLETE FEE SCHEDULE BELOV
1. INSTALLATIO '
, .:\ /'- A. New e' . al-:Single or
Multi-Family per dwelling unit.
Service Included:
'. LEGAL DESCRIPTION
/7 '1) ;z., 7 ;;::, I 7 (')(")9('lJ
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. it or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
,-' -,7"\
$ 50,00 '-v) Ic-'U
$ 60,00
$100.00
$130,00 ..
$300,00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration" or Relocation
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name 5'-refJ./-eAf B. R€JUh:7LT
Address /951 Lomo/lJD It,;€,.
Ci ty SPIeIAJ&hI:2i) Phone -:r::J. fo-'lMoo
OYNER INSTALLATION
,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
r:t?~
---------77---------------------
DATE: I ~ 2..-Lf'-.L( rs
RECEIPT 11: I (h-,/'.7.... i-;"'
RECEIVED BY:' lA-A:--,,, 0
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D,
Branch Circuits
$ 40,00
$ 55.00
$ 80.00
see "B" a'li'O'Ve
New, Alteration or Extension Per Panel
"
One Circuit $ 35:00
Each Additional
Circui t or wi th Service ';2. 7 "P~
or Feeder Permit ~ $ 2.00 J~('v
not included)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
'Yl?-- 00
_ <1. ~t~
'l:( 5r . t:)1/l
40.00
40.00
20.00
36.00