HomeMy WebLinkAboutPermit Electrical 1997-11-15
ihe following'project as submr.tod h~s the fo:loVling'
zoning, e.nd does not roquire spElCiflc l~nd U'!lD
approval.
ltol~,ilOONe~, Alteration or Extension Per Panel,
, One Circuii ,$ 35.00
Each Additional
'Circui t or loIi th Service
or Feeder Permit
\ .2.25 FIFTH STREET Zonlllg C. L.
SPRINGFIELD,' OREGON 9747J" '
INSPECTION REQUEST:D":72~-6~ 111 1M
OFFICE: 726-3759 Autl1orlzodSignatu,.--mL'
1.' LOCATION OF INSTALUATION
io:In ~;fY\J~"
I Lfld~DJ;~.rllfyO~qO()
JOB DESCRIPTION
(\hn.('(\~, milil'L.dli\oo I
Permits are non~transferable and expire
if ,loIork is not started loIithiri. 180 days
'of issuance or if 1oI0rk is suspended for
180'days.
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2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical Contractor c..~Wa(\tr\lf\~.
Address_P,()~ ~,
CitY~(\~m~~nnd..., Phone~-;b
Supervisor License Number I b Z b S
Expiration Date 10:"'1-<12
Cons t r Con tr. Number (\ ~ ~.4q
q -1-<11
Expiration Date'
Signature of Supervising Electrician
,a~~-3'27
Ololners'Name~-rOn '
Add m sj:) 0 (Y IiUJl'lt" ~ ,e ~uJ.y
Ci ty _ ~ Pho~e 1,55.1"' qDol
, l
,OVNER INSTALLATION
The installation is being ~ad~ on
property I'ololn IoIhich is not intended
for sale, ~ease or,rent.
Owners Signature:
,
~~~~;;-:lltf;:L~-~---~----~---~'
RECEIVED BY: \.c.. ~ /1/\_, ' '
ELECTRICAL PERMIT APPLICATION
City Job NU1I1ber q.76SS~
.1.
CUrlPLETE FEE SCHEDULE BELOY
A." Nelol Residential-Single or
Multi-Family per dlolelling
Service Included:
uni t.
Items
'-,
1000 sq. ft. ,or less
Each addi tional- 500
sq. ft or portion
thereof
,Each Manuf'd Home, or
ModularDloIelling
,Ser~ice or F~eder
$ 85.00
$ 15.00
:$ 40.00
Services or F~eders
,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
50,00
C', Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"'or less $ 40.00
20Lamps to 400 amps $ 55,00
Over 401 to 600 amps, $ 80.00
Over 600 amps Ol~ '1000 volts see "B" above
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, D.
Branch Circuits'
.'
'$
2.00
E. , Miscellaneous (Service/feeder
" -E'achinstallation '
Pump or irrigation
Sign/Outline'Lighting
Limited Energy/Res
'Limited Energy/Comm
not included)
$ 40.00
$ 40.00,
$ 20.00
$ 36.00
,
5. SUBTOTAL OF ABOVE
5% StateSurchafge
3% Administrative Fee
TOTAL
'50. ()P
, :l.~{')
1.5D
~t.J-,op
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