HomeMy WebLinkAboutPermit Electrical 2002-10-25.2,- r_
JOB D
ItiO days
the
gigf\atu(e Each Manufd Horne or
Modular Dwelling
Service or Feeder
ATTENTION:Uregorira
ALLATToN oNLy B. $olhwful€Fed0mted by
Notifidiom
; n 0Affi.6rtiPatl0fl :0-il i
lv8 0090. You may o
1 amps
dn'elling unit.
s 1e.00
2
Electrical
Address
Supen'i
Date
of Super-r ising Electrician
?5qt5
E
-Each installation
Pnmp or irrigation
Sign/Outline Lighting
Limited Energr'/Res
Limited EnergviConun
.I. SUBTOTAL OF ABOVE
7o/o Stile Surchrrge
87o Administrative Fee
$25.00
$45.00
l\'Iinimunr Electric Permit Inspection Fec is S-15.00 * Surcharges
LoS oo
q 5TOTAL
'7L
225 FIFTH STREET
SPzuNGFIELD. OREGON 97-T77
1NSPECTION REQUEST'. 1 ?.(>-31 69
OFF]CE: 726-3159
PLiY?{TLATION
ELEL
-.-CAL
PERMIT APPLICATION
City Joh
3. COMPLETE FEE SCFIEDULE BELOW
Iterus Cost Sur!
$ 106.00
--
One Circuit
Each Additional Circuit or lith Sen ice
or Feeder Perntit $ 3.00
and
Permits are non-transferable and
if r,vork is not started rvithitt 180
Expiration
Constr Contr.
Expiration
Orvners
OWNER II{STALLATION
The installation is being tttade on
properly I olvn lvhich is not intended
for sale. lease or rent.
Or,er 1000 amps/volts $375.00
Reconnect Only $ 50.00
-C. Temporarl'senices or Feetlers
Installation, Altcration or Rclocation
200 atups or less $50.00
-
201 arnps to 400 amps $69.00 .-
Or.er -101 to 600 amps $100.00
-
Or cr 600 irntps or 1000 r olts sce
"B ' ltbovc
D. Brlrnclr Circtrits
Neu Alterrrtion or Estensiort Per Pauel
a
--'Eq I -
5,o(/
Ot'ners Signature