HomeMy WebLinkAboutPermit Electrical 1998-5-4
SP"FIELO
Th8 follOwIng projec:IlIIl'eubml\ted has tho fo
zonlng"pnd !1f>e1> JId. requlre specnlc land u
opprov;::: Ai .'. .
225 FIFTH STREET,' DaI. r\vV'\
SPRINGFIELD, OREGON 97477 9---:--. I .
INSPECTION REQUEST: 726-371..1.".. ... JSlgnaIuftl
OFFICE: . 726-3759
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~DE~~O( ~f&l' . .
Permlts are non-transferable ~nd explre
if ~ork is not started vithin'180 days
of issuance or if york is suspended for
18\days. '.' ',' '''-.-
2. \NTRACTOR INSTALLATION ONL~ '
Electrical Contractor ~,
. "'- /
Address " /
. '\, / .
'City .'\, ~hone.
'\. . /:,
Supervisor Licen~Number
J;:xpiration Date./"'" .
'. Constr contr.;t;'umber\
/
Expiration/~ate" \
/
Signatu~ ~f Supervising Ei'~rician
, / .
/ '.
Ovners Nam~~~~ ~~h.l\QG.-
Address 6~\~0! t (\\ef\l~~
Ci ty ~ M1\\\.1i~Q . Phone l~li:-t~:i1
OYNER INSTALLATION
The'installation is being made on
property I ovn,vhich is not intended,
corsale, lease or rent.
Ovners~Signature:
~~~~
v, ~L
~~~~~------------~=----~~~C[~----
RECEIP'.[ #: ~l -j 1. ,.. .
Rl::GEIVED IlY:'" ..o~~} ~,
-
,
{"';~y lnh Number
ELECTRICAL PERMIT. APPLICATION
C\~lY\-\ \
3. COMPLETE' FEE SCHEDULE BELOY
A.
Nev Residential~Single or'
Multi-Family per dvelling uni t..
Service Included:
Items Cos.t Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home, or
Modular. 'Dvelling'
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
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
, t . '$ 40.00 40
$.55.00'
'$ 80.00
volts see liB" above
C.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 a~psor 1000
D.
Branch Circuits
.'
.Nev; Alteration or Extension Per Panel
Miscellaneous .(Service/feeder
-Each installation .
Pump or irrigation
'Sign/Outline Lighting
Limited Energy/Res
Lfmi ted Energy/Comm
One Circuit
. Each Additional
Circuit or vith'Service
or reederpermit .
E.
5.
SUBTOTAL OF ABOVE
57. State Surcharge
37. Administrative Fee
TOTAL
$ 35.00
$ 2.00
not incl"uded)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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