HomeMy WebLinkAboutPermit Electrical 1995-6-6
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SPRINGFIELD
Tho. following project as submttted has the foHI
zonmg, and does not require specific land use
approval.
225 FIFTH STREET i r-.. ()
SPRINGFIELD, OREGON 97477 Zoninn ~~
INSPECTION REQUEST: 726-'.lHJB.Jp -(J -'\-..,
OFFICE: 726-3759 - -
f.uthortzed Signature 1\1 ""^ C:OMPLETE FEE SCHEDULE BELOll
1. Leb~~ I!i{fl\LA~
I~~~M~N (1\ClCD
~~ ~~r:ION 411 'L
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if work is suspended for'
180 days.
City Job Number
ELECTRICAL PERMIT APPLICATION
q r:s:fL~~
A. Nev Residential-Single or
Multi-Family per dvelling unit. .
Service Included:
Items Cost Sum
1000 sq. ft. or less l $ 85.00, as
Each additional 500
sq. ft or portion ~ m.
thereof $ 15.00
Each Manuf'd Home or
Modular,'Dvelling'
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION'ONLY B.
Electrical contract~~ \A.Qffi <r12d
Addressm ~ \ ~ro.\.t"Q.. ,
Cityl(... Til\O - Phone.~CO.CA~a
,supervisor icense Number ,f;f\ 1\ f)~
Expiration Date \0. \. C\~
Constr Contr. Number r'f\2..C\lo
Expiration Date \ ~ . \0 .CJI\.
Signature of Sup~sing Electrician
(V ~~, ~vfi!V7~iJ
Ovners Name V(\ ,ev
Addr~ss '\)n ~"/... 3~
City'~(l~\l.~' Phone
.' ". 'i~
OllNER,INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
~:-:;~----(J:-:~1)O;~
RECEIVED BY: \.. '
v
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
Reconn,!,ct Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
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Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Mi~cellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
dYCf6J:D
{U.~
, lp. I~
c9~' .-r(J
40.00
40.00
20.00
36.00