HomeMy WebLinkAboutPermit Electrical 1997-4-24
SPAINGFiELD
. . 'd \1"'-:- thlJ to\\o ... ~,
. , 'o::>~1. a$ $ubm~t\ . :""';'.;, d Vl~
'T~\;l lD\'iow1ng pr~"'~1 reqIJ,ifG spec\\IC !.., I . .
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97477 Zoning
726-37~~"_6r'W:\..d111\\~ City J~ Number Q10o/lft?
P....lhorlzed s\gnalure--:r.-:- COMPLETE FEE SCHEDULE BELOY
1. . LOCATION OF INSTALMTION
, 58'} _1\JM\q\rtl , ~J.~. . A. NeIJ Residential-Single .or
Multi-Family per dIJelling unit.
Service Included: .
ELECTRICAL PERMIT APPLICATION
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
19fLo 9f7SYfffl1tfILI I (}l) ,
f
, Sum
Cost
It ems
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
there'of '
Each Manuf'd Home, or
ModularDlJelling
Service or Feeder
JOB DESCRIPTION . '0 '
.-tl\~ c-ttt'l\;d.o, (11 IHIlI I1Q.J
Perini'ts are non-transferable and expire
if IJork is not ~tarted,IJithin 180 days'
of issuance or if IJork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~.<.~ r;'loolrU~.:lM.
'Address ~. tl.~f'r'I, /t/-21... ,
,
. Cit~~.N\q~QnL Phone.'14-~-j,/j.,~b
Sup~rvisor LYcense Number I b 2.h S '
Expiration Date lO-I-QR
Constr Contr. Number n?)l,lj..q
. Expiration Date q - / - q.1
$ 15.00,
:$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:' \
.
$ 50.00'
$ 60. 00'
$100.00
$130.00
$300.00
$ 40.00
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 ,
Temporary Serv.ices' or, Feeders
Installation, Alteration or Relocation
,C.'
, ,$ 40.00
$ 55.00
$ 80.00
volts see "B"
200 amps' 'or less
201 amps ,to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000'
Signature of Supervising Electrician
.a--YL.? ~~ . D>
OIJners Name~'h\~'\ 1~1\('(\,"r\1\, ~M..tir(\)
Address5:1~ ~f(\lto } 910110,' '
Cit Phone '141-1.'1:)Q
above
Branch' Circuits
.'
NeIJ, Alteration or Extension Per Panel
One Circuit , $ 35.00 ,g5.00
. Each' Add i i: i onal'
Circuit or'lJith Service
'or Feeder Permit $ 2.00 #,.00
O\INER IN ALLATION
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump o~irrigation $ 40.00
Sign/Outline Lighting ,$ 40..00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36;00
5. SUBTOTAL OF ABOVE :1'1.DD
5% State Surcharge ,',. 5!~
3% Administrative Fee I. I'
TOTAL .'lq. q fa '
The installation is being 'made on,
property I'oIJn'IJhich is not intended
for sale, lease or rent.
owners Signature:
D~~E~-------L(~~~/f~---~--;--~--------
RECEIPT 1I:. -W n'JhUf:f/U /
RECEIVED BY: . ,~{lr,