HomeMy WebLinkAboutPermit Electrical 1996-1-29
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Tho lo!lowlng p,,*ct eo "ubmltlad haa the foli
zoning, ~1d dClJ$ not require specific land U9a
225 FIFTH STREET approve!. ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zonlno r (I. n\o\'i'T'OC..
INSPECTION REQUEST:, 726-3769 l-dP qt. City Job Number V\ ~ ~
OFFICE: 726-3759 Dato ,", - 'f'
, . " 3.,.. COMPLETE FEE SCHEDULE BELOI/
1. LOCATIO OF INSTALLATIOfi.lihCnZ~ 1911~,.!'ro -... f
J~nw ,fij. - ((8;\ /ilfivYf A. New Residen tial-Single or
- ShD~J Multi-Family per dwelling unit.
\~ION . OA...~ Service Included: Items Cost
JOB DESCRIPTiON , 1000 sq.ft. or less $ 85.00
VlO}~/ )"1)/"0 Each addi tional 500
o sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular, 'Dwelling
180 days. Service or Feeder $ 40.00
).ol/&"<QI^ .5+ .
Phone 3'Lf.Z - / 7 hq
L{{~
S/ q7
(oljln{f{
thl.{;,/3i-\L\f")
l
of Supervising Electrician
/l'Lh~ J
%.~ ~ Branch Circui ts
New, Alteration
2. CONTRACTOR INSTALLATION ONLY
Electrical contractorl11~~~ r(vn(.
Address 21JL/
City 6ifVvJ
Supervisor License
Number
Expiration Date
Con~tr Contr. Number
Expiration Date
Signature
Owners ~me
Address V\ 't
City~\\~~o~e ,
01lNER INSTALLATI~~
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
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:....
Sum
S 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 4q,.00
.'
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
voltS
$ 40.00
$ 55.00
$ 80.00
see "B"
above
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600.amps
amps or 1000
.'
or Extension Per Panel
$ 35.00
$
2.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
The installation is being made on E. Miscellaneous (Service/feeder not included)
property I own which is not intended -Each installation
for sale, lease or ren t . Pump or irrigation $ 40.00 ~
Sign/Outline Lighting I $ 40.00
Owners Signature: Limited Energy/Res $ 20.00
( Limited Energy/Comm $ 36.00
i ~ATE~-------r~j~~-------(----- 5. SUBTOTAL OF ABOVE Lf ()~ I
I 5% State Surcharge ~~
RECEIPT 11: J. / ~\ 3% Administrative Fee \ ~
RECEIVED BY: 't1't/JP , TOTAL ~