HomeMy WebLinkAboutPermit Electrical 2002-02-21225 FIFTH STREET
SPzuNGFIELD. OREGON 97477
INSPECTION REQUEST'. 726-37 69
OFFICE: 726-3'159
ELEu.- .ICAL PERMiT*:r:*ro: : .
cityJob l'tu*t,.,0Z- O O/? O \
3. COMPLETE FEE SCHEDIILE BELOW
LOCATION OF INS
AL{O NJ. 25-1il
TAILATION
QI A. Nen' Rcsidential-single or
Multi-Family pcr dl'elling unit.
Sen'ice Inclutled:
Iterns Cost
Proiecl a
Sum
LEGAL DESC
o
JOB D
Expiration Date
Add
oa o
zoning, and
approval.
\6
'ffiffii{,fr'LlBHu,,ON
does nol
T_LVZEach additional 500
Date -2 -c)
$ r 06.00
Cl-
Permits are non-transferable and expire
ifrvork is not started rvithin 180 daysAuthonzeo Signature or
Circuit or u'ith Service
$ 50.0u
--
$ 75.00
_ $161.00 _
_ $i75.oo _X' s 5o.oo
$ 19.00
$ 3.00
"B" above
:Lt,t
D. Branch Circuits
Neu' Alteration or Extensron
One Ciicuit
Each Additional
or Feeder Perrnit
OWNER INSTALLATION
The installation is being tuade on
propcrty I ou'n rvltich is not intended
for sale. lease or rent.
Orvncrs
$4i.00
E. l\'Iisccllaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting _ 550.00 _
Lirnited Energl'/Res $25.00
l\[inimum Electric Permit Inspection Fce is S{5.00 * Surchargcs
4. SUBTOTALOF'ABOVE
7Yo Stile Surchurgc
87o Administrative Fee
o
-3p:---qw-
not included)
re:
{O57',-
Tlt
city eP{^ f uC,* fE trt pnon"}fi-ffi
SHALT EXP\RE
r0Ror Feeders
Installation, Alterations or
Sen'ices or Feeders
Alteralion or Relocation
amps or less
1 amps to 400 amps
of issuance or if work is
180 days..tHIS .tH\S
2, CONTRACTOR
Electrical'
Supen'isor
Expiration
Constr Contr.
Signrrture of
Orvners N
License Nurnber
200 amps or less
201 amps to -t00 amps
401 trnips to 600 amps
60I amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
TOTAL