HomeMy WebLinkAboutPermit Electrical 1997-3-6
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97fl<'7qJJized Slgnatur. , ""
726-3769
225 FIFTH STREET
SPRINGFIELD.. OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
1. ~05=ATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if. ..ork is no t started ..i thin 180 days,
of issuance or if ..ork is suspended for
180 days. . .
2 . CONTRACTOR INSTALLATION ONLY
Electrical'Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
'Constr Contr. Number
Expiration'Da'te
Signature of,Supervisi~g Electrician
-
O..ners Name~E' _\;,\C~fP
Addres~()~~-!t ,
Ci ty, Ny.J ~ --' Phone 14-1. 3Ct"
. ~] JTALLATION
The installation is being made on
property I o..n ..hich is not intended
, for sale. lease' or ren t.
Owners Sign'!ture:, " '
~~~-~r(-e-----~---~-~
DATE: '')" 0.' VI. .
RECEIPT #: I __. ,,~4' 1\
RECEIVED. BY,: 'r/\}T'f~ .
ELECTRICAL PERMIT APPLICATION
i
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
97(::72/ C;
A. Ne.. Residential-Single or
Multi-Family per d..elling unit.
Service Included:
Items Cost
Sum
. 1000 sq. ft. or less L..-' $ 85.00 153.5.07)
Each additional 500'
sq. ft or portion
thereof 2 $ 15.00 'SO.6C
Each Manuf'd Home, or
ModularD..elling
Service or Feeder $ 40,00
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,
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$'4'0.00
C. ~empoeary Services or Feeders f
I~stall~tion, Alteration or Relocation
200 amps' 'OT' less
,201 amps to 400 amps
Over,401 to 600 amps
,Over,600 amps or 1000
. ,
$ 40.00 .-IcJ.~
$ 55.00
$ 80.00
volts see "B" above
L--
D.
Branch Circui ts
Ne... Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Misc~llaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outiine Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE ~&.;c?~~
5% State Surcharge . '3,0-0
3% Administrative Fee 4,~
TOTAL / 7'?' .9.-0
One Circuit
Each Additional .
Circuit or with Service
or Feeder Permit