HomeMy WebLinkAboutPermit Electrical 1998-11-24CITY OREGiON
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ELE TRICAL PERHIT APPLICATION225 FTFTH STR.EBT
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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CiL".ri".r .6'iif}""tor Son i t ro I secur i tv
Address P.O.Box 21 009
Ci ty Eu ene Phone 461 -5678
Supe rvi.sor Li,cense Number l(n&1 RL-I
Expiration Date
Constr Co ntr. Nurnber 65149
Exp irat ion Date 6-28-00
Signature of Supervising Electrician
Ovners Name
Address
Ci ty Job Nunber
FEE SCEEDTILE BELOV
Nev Residential-Single or
Multi-Famil-y per dvelling unit.
Service
1000 sq.
Each add
sq. ft
thereof
Each Man
Modul-ar
Service or
Services or Feeders
fnstallation, Alterations
or Refocation:
200 amps or fess
201 amps to 400 amPs --401 amps to 600 amPS
-
601, arnps to 1000 amPS-
0ver 1000 amPs/vo1ts
-
Reconnect 0n1Y
,+1
00
00
ee rrBtr a6ove
1. LOCA ON
Adhortssd
INSTAILATION
qDE
A
C
E
D
B
$s$6
$10
$13
S30
$4
$
$
$
S
$
$
$
s
0.00
0.00
0.00
0.00
0.00
0.00
TemporarY Services or Feeders
Insiallation, Alteration or ReLocation
200 amps or fess
201 amps to 400 amPs
-Over 40L to 600 amPs
-
Over 600 amPs or 1000 volts
00
40
55
BO
D Branch Cireuits
Nev, Alteration or Extension Per Panel
one Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-_
$ 2'00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Light ing-
Limited EnergY/Res
-
Limi ted Energy,/Comm \
SUBTOTAL OF ABOVE
5Z State Surcharge
32 Administrative Fee
TOTAL
Phone -A{6v/
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
f or sal-e , lease or ren t '
Ovners Signature:
Ci ty
DATE
40.00
40.00
20.00
36.00 @D
5
RECEIVED
6