HomeMy WebLinkAboutPermit Electrical 2001-1-29
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approval. !../.A I
225 FIFTH STREET Zoning ,_ "'1 _ 0 I
SPRINGFIELD, OREGON 97477 ~
INSPECTION REQUEST: 7Z6leJTo~ - .{<,'0
OFFICE: 726-3759 '""",o"zed Signature
.'
1. LOCATIllP OF INSTALLATIjlN
ct3t:J() lIt:WtJ~ . ~/JC
LEGfIL DESCRIPTION
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JOB DESCRI~ION .
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor,t""SIJl S;~I
Add;ess J2.lo t3IJK~..II i?d
Ci ty htGGdG Phone !fRSS5 '&.-
Supervisor License Number 365 $(6;
Expiration Date J () 102-
,
Constr Contr, Number~'" :/05 e{~
Expiration Date
j()-/-O/
~~~re of ~rViSing Electrician
, _..-i \J ~U _ -
Ovners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not,intended
for sale, lease or rent. '
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
ELECTRICAL PERMIT APPLICATION,
~ ty J~b Number f'J I - O7TDo 7 - 02--
3. COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included: '
Items Cost
1000 sq,ft. or less
Each additional 500
sq, ft or portion
thereof
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/volts
Reconnect Only
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
.'
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00 ~
Sign/Outline Lighting lC -$ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
Jt.4P. ~
40 'Z.. 'i!P
11 I. 2.0
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