HomeMy WebLinkAboutPermit Electrical 1996-06-27nxe tf '-qb
225 FIFTE STREET
SPRINGFIELD, OREGON 974''17 '''t-:,r =qiir':
INSPEcf,IoN REQUESTz 726-3769
OFPICE: 726-3759
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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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.
2. COMRAgTOR INSTALI.,ATION ONLY
Electrical Contractor
Address
Citv Phone
Supervisor License Number ?OZi S
Exp iration Date lO 1 -qB
Cons t r Contr. Number lrA
Expiration Date
Signature of Supervising Electrician
0vners
Address /.fro t)" ?.rlt
CitySP!,^s.trraza PhoneTZl'72.e
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sa1e, Iease or rent.
0vners Signature:
DATE:2
SPFlINGFTELO
land use
ELE TRICAL PERHTT APPLICATION
Ci ty Job Nunber
COHPI,ETE FEE SCMDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dvelling
Service or Feeder
s 8s.00
s 1s.00
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
s s0.00
s 60.00
$100.00
s130. 00
s300.00s 40.00
$ 40.
$ ss.
$ 80.ssee"
200 amps or less I
201 amps to 400 amPs _
401 amps to 600 amPs _
601 amps to 1000 amPs-
0ver 1000 amps/volts
Reconnect oniy
Temporary Services or Feeders
Installation, Alteration or Relocation
zoning, and doeg not require epeciticaooroval. t
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3
A
Sum
B
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00
00
00
B" aE6iE-
200 amps"or less
201 amps to 400 amps
-Over 40L to 600 amPs
Over 600 amps or 1000 voTt
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit L
SUBTOTAL OF ABOVE
52 State. Surcharge
3Z Administrative Fee
TOTAL
-Each installation
Pump or irrigation _ $
sign/outline Lighting- $
l,imi ted Energy/Res $
Limited Energy/Comm $
s 3s.00
$ 2.00 'r,oo
E. Miscellaneous (Service/feeder not included)
40.00
40.00
20.00
36.00
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