HomeMy WebLinkAboutPermit Electrical 1997-03-14CITY OF OREGON
iPFIITVGFTELD
ELECTRTCAL PER}IIT APPLICATION
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3 COHPLiTE FEE SCEEDI'LE BELOS
A.
(u225 FTFT,E STREET
SPRINGFTELD, oREcoN 97
fHSPECTTON REQUEST: 70FPfCE: 726-3759
1 LOCATION
{,fffiffii**-,lob Nwber Q D3(o
o Nev Residential-Sing1e orMulti-Family per dvilling unitService fncluded:
2. CO}IIRACf,OR TNSTALI^ATTON ONLY
Electrical Contractor
Address T\+
Phone LYG -]Jbr
Supervisor License Num $tls
Expiration Date
Constr Contr. Number -:D^ |(sc
Expiration Date P
S ,e ing Electrician
Ovners Name
Address I b b fn) haa K b IVL
Ci ty Phone ,l
OVNER ALI.ATION
The installation is being made onproperty I ovn vhich is not intendedfor sale, lease or rent.
0vners Signature:
DATE:
f tems
L000 sq.ft. or less
Each additional 500sq. ft or portion
thereof
Each Manufrd Home. or
-
Modular Dwelling
Service or Feeder
Services or FeedersInstallation, Alterationsor Relocation:
200 amps or less
201 amps to 400 amps
-
401 amps to 600 amps
-
601 amps to 1000 amps-over L000 amps/volts
-
Reconnect Only
Cos t
s 8s.00
$ 1s.00
$ 40.00
s s0.00
s 60.00
s100.00
$130.00
s300.00
s 40.00
Sum
Permi ts areif vork isof issuance
180 days.
r non-transferable and expirenot started vithin 190 daysor if vork is suspended for
B.
c
.
F*
Temporary Services or FeedersInstallation, Alteration or Relocation
200 amps"or less $ 4O.OO201 amps to 400 amps
-
$ 55.00over 401 to 600 amps
-
$ gO.O0
Over 600 amps or 1000-6fts see uB, affiE
B.ranch Circui ts
Udr'-'Nev, Alteration or Extension per paneltm
oO
E. Miscellaneous (Service/feeder not included)
OneCircuit , S35.00
Each Additional
Circuit or vith Serviceor Feeder permit I $ 2.OO
-Each installation
Pump or irrigation
Sign/0ut1ine Lighting-
Limited Energy/Res
-Limited Energy/Comm
s5
$ 40.00
s 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTALRECEIVED
5
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