HomeMy WebLinkAboutPermit Electrical 1999-03-03225 FIFTB STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST. 726-3769
OFFICE: 726-3759
1 ON OF INSTALLATI
IINGFIELC'
BLECTRICAL PERHIT APP
City Job Number
3. COMPLETE FEE SCBEDTILE BELOII
A. Nev Residential-Single or
MuIti-Family per dvelling unit.
Service Included:
I tems Cos t
s 8s.001000 sq.ft. or less
saeh additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
-Modular'Dvelling
Service or Feeder s 40.00
Services or Feeders-Installation, Alterations
or Relocation:
200 amps or less 1-
20L amps to 400 amps -I
401 amps to 600 amPs
--601 amps to 1000 amps_
Over 1.000 amps/voIts
Reconnect Only
C.Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
over 401 to 600 amps
-
$ 80.00
Over 600 amps or fbOO voT[s see rrgrr uffi
Branch Ci rcui ts ; ..
Nev, Alteration or Exterrsion Per Pane1
one circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit $ 2.00
E Miscellaneous (Service/feeder not included
-Each installation
Pump or irrigation --Sign/0utIine Lighting_
Limi ted EnergY/Res
Limited Energy/Comm
$ 40.00
s 40.00
$ 20.00
$ 36.00
SUBTOTAL OF ABOVE
52 State Surcharge
3Z Administrative Fee
TOTAL
0
L,EGAL DESCRIPTIoN / -ffi:er.Zrfu Sum
JOB DESCRIPTION
.?-
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance oL- if vork is suspended for
180 days.
2. CONTRACTOR INSTALI-,ATION ONLY
Electrical Contractor d
Address frl /d I 7
Ci ty Phone 4s as
I Srpervi-sor Li'cense Number 2(71 5'
Expiration Date
B
$ 1s.00
s 50.00
$ 60.00
s100.00
si30.00
s300.00s 40.00
x
-
Constr Contr. Number 2C
Expiration Date o,
Signatu ising Electrician
Owners ame ,/O,td
Address /.ff{// ,/*h
Ci ty Phone
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
0vners Signature:
DATE:
D
s?
5
RECBIVED B
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