HomeMy WebLinkAboutPermit Electrical 2000-11-16SP'i FIELD
DEV ELO PMENT SERVIC ES DE PARTM ENT
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oFFICE: 726-3759
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BLECTRICAL PERHIT APPLICATION
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225 FIFTH STREET
SPRINGFIELD, OR 97477
t541) 726-3753
FAX i54!) 726.3689
Sum
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Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days Oogab
City Job
3. COHPLBTE FEE SCEEDIILE BELOII
A Nev Residential-Single or
Multi-Family per dvelling unit.
Service lncluded:Items Cost")
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular DveIIing
Service or Feeder
$ 8s.00
$ 1s.00
$ 40.00
2. COMRACTOR INSTALLATION ONLY
Electricaf Contractor
eaaress4 A
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cit P
Supervi s License Numbe
Expiration Date
Constr Contr. Number
Expiration Date
Signa f sing Electrician
Ovners
Address
Ci ty elfL pnone 1j L q 31 I
OVNER INSTALLATION
The installation is being made on
property I ovn vhj.ch is not intended
for saIe, fease or rent.
Onners Signature:
DATE:
Services or Feeders
Installation, Alterations
or ReLocation:
200 amps or less -L201 amps to 400 amPs _40i. amps to 600 amps _
601- amps to 1000 amps_
Over 1000 amps/vo1ts
Reconnect 0n1y
Pump or irrigation
-
Sign/Outline Lighting_
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
77q State Surcharge
3Z Administrative Fee
TOTAI
Temporary Services or Feeders
Installation, Alteration or Refocation
200 amps or less $ 40.00
201, amps to 400 amps
-
$ 55.00
over 4b1 to 6oo amps
-
$ 80.00
0ver 600 amps or 1000 voTts see 'B" aEovE-
Branch Circuits
Nev, Alteration or Extension Per Panel-
one Circuit $ 35.00
Each Additional
Circuit or vith Servica
or Feeder Permi ;-- ' :L $ 2. oo L2:
Miscellaneous (Serviee/feeder not included)
-Eaeh insta]lation
00
B
C
$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
s 40.
$ 40.
$ 20.
$ 36.
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225 EIFTH STREET
SPRINGFIEI.,D,
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