HomeMy WebLinkAboutPermit Electrical 2002-01-11225 FiFTH STREET
SPzuNGFIELD. OREGON 97177
INSPECTION REQUEST: 726'37 69
OFFICE'. 126-3159
ELEI- ^ PJCAL PERMIT APPLICATION
Citl'Joh Numb
CON{PLETE FEE SCHEDULE BELO\\T
Nc*' Re.sitlcntill-Singlc or
NIulti-Famill per tlrrelling unit.
Sen,ice Included:
I. LOCATI
'tZBi
ON
LEGAL DESCRIPTION
l703 Z 7cs o oo70f
$ 19.00
$ 50.00
Items Cost Sum
$ 106.00JOB DESCRIPTION
Permits i)re non-
if work is not sta
of issuance or if work is
180 days.
Electrical Contractor
Address
proiect as
s
q.ft. or less
dditional 500
portlon
thereof
Manufd Home or
Dwelling
Service or Feeder
B. Senices or Feeders
Instalhtion, Alterations or
Relocation:
200 amps or less'l:
201 amps to
:101 amps to
601 amps to
-t
2. CONTRAC-TOR INSTALLATION ONLY
\!\
c\
N
{
Cia SV,>y f- tn7
s 6i.0o _
$ 75.00 _qt?< on
-
$16l.00
-_5.00
0.oo _
+
M
t
Expiration Date
Supen ising Electrician
OrYners N
OWNER INSTALLATION
The insttrliation is being utade on
property I olvn rvhich is not intended
for sale. lease or rent.
Oryncrs Signature:
D. Branch Circuits
ENIB n'cu Alteratiou
Srt Do-1 one
or Extension Per Panel
tl Each Additional Circui
or Feeder Perrnit
1. SUBTOTALOFABOVE
7oh Stale Surchitrge
8'% Administrative Fee
TOTAL
t or rvith Serv'ice
3.00
E. Nliscellaneous (Service/ttcder
-Each installation
not included)
Pump or irrigation $50.00
-
Sigr/Outline Lighting $50.00
-
Linrited Energl'/Res $25.00
-
Liniited EnergvlConun I $-15.00 t
N'Iinimum Electric Permit Inspection Fee is S-15.00 + Surcharges
S.6,
5\:15
Authortzed signature
4N ol8#,B$Xffffiion
201 amps to 400 amps
Over 401 to 600 anps
IS.NOT
FOH
$50.00
$6e.00
$100.00
Constr Contr.
o
Ovcr 600 amps or 1000 volts see
"8" abole
$43.00
*$*