HomeMy WebLinkAboutPermit Electrical 2001-5-31
225 FIPTH STREET
SFRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
4/4 ma ;n 5f~+-
LEGAL DESCRIPTION
'76'S,531
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JOB DESCRIPTION
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if work is suspended for
180 days,
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 0 ( -00 S-S-3 - 0\ ,
,
A.
COMPLETE FEE SCIIBDULE BELOII ~
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less
Each additional 500
sq. ft or port ion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
S 15,00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation. Alterations
Electrical Contractor Snn it rol Secur; ty or Relocation:
Address P.O. Box 21009
Ci ty Euuene
Phone 461-5678
Supervisor License Number /&,8'1 R.eT
Expiration Date
10-/-0/
Constr Contl', Number 65149
Expiration Date
6-28-00
Si~ature of Supervising Electrician
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Ovners Name 1n11;y/ ,<;+"1'1'1 ~,r S bn'l/
. - . ~
Address 4/4 mai{) sf.
Ci ty Gfrin(jf!te/d Phone 144--zgu)
OVNER INSTALLATION
The installation is being made on
properlY I ovn vhich is not intended
for sale. lease or rent.
Ovners Signature:
---------------------------------------
DATE: 05300 (
RECEIPT ~: g~4'/
RECEIVED BY: ~I? /
_0.:---
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
S 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
$ 40,00
$ 55,00
$ 80.00
VOlts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
S 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline'Lighting
Limited Energy/Res
Limited Energy/Comm
not included:
5.
SUBTOTAL OF ABOVE
~y. State Surcharge
3Y. Administrative Fee
TOTAL
S 40,00
$ 40.00
S 20,00
$ 3.8,00
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