HomeMy WebLinkAboutPermit Electrical 1997-10-3
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Zoning
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Dale
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SPRINGFIELD. OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. lf~\~~N ({,~mtLA~r,ot
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\ 1 JO't\ DES~~PTTJ>N
7\ t -,:0 I.\uo v\rL .
per~t: are no:-:ransferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for.
180 days.
CONTRACTOR INSTALLATION ONLY /
Elec ical Contractor ~
/
City
~
~ne
Supervisor
Expiration
Constr
~
~
Number
Date
Electr,
Ovners Name~l , 1'{\~(L..
Address-1\o) '-~J 3f~ \. ~u.a.:t-
City ~~ Phone f\.\.~\oCS
O~~STALLATION
The installation.is being made on.
.property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
;,.,,'
'. DATE: ...
RECEIPT.lI:.
. RECEIVED 'BY:
/tt:)/j/'71 . /, .H'
r .!. '. ::z.:h:i' /!:J:S .
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ELECTRICAL PERMIT APPLICATION
Ci ty Job Number (X\ \ ~ ~4
3.
COMPLETE FEE SCHEDULE BELOY
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
1000 sq.ft. or less ~
Each additional 500
sq. ft or portion
thereof 2-
Each Manuf'd Home. or
Modular. 'Dvelling
Service or Feeder
.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/vol ts .
Reconn.ec t Only.
C.
uni t.
Items
Cost
Sum
$ 85.00
~5
$ 15.00
3D
$ 40.00
$ 50.00
$ 60.00
$100.00'
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
B.ranch 'Ci rcui ts
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. . SUBTOTAL OF ABOVE
.5% State Surcharge.
3% Administrative Fee.....
TOTAL -.... ....,_...,.."........
$ 35.00
$ 2.00
not included)
$
$
$
$
.. '1/ C'" .'N:>
.....:....L P;J, .'
-;);.1.$'";'
..T.1'..)..
- 'I "f.4'.~O ,.
40.00
40.00
20.00
36.00