HomeMy WebLinkAboutPermit Electrical 2002-01-25225 FIFTH STREET
SPzuNGFIELD. OREGON 97477
INSPECTiON REQUEST'.'7 26 -31 69
OFFICE: 726-3159
I. LOCATION OF INSTALLA'qo3f €
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits a
if work is
of issuance or if rvork
180 days. ,
6t"
Authorized lo
2. CONTRACTOR INST
Electrical
Address roe
Citl EutfrrA+ Phone
Citv Job
COIVIPLETE FEE SCI#DI.]LE BELOW
Ne*' Residcntial-Singlc or
Multi-Farnily per dl'elling unit.
Scn'ice Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
1!"'sernnurnufcl Horne or
'on1.fi88rtL Drvetling
Service or Feeder
Feeders
Installirtion , Alterations
ltion
200 amps or less
201 amps to 400
401 amps to 600
601 amps to
Over 1000 a
volts see
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rlO$'l
rO
30g0
I
Items Cost
te
_ $ 19.00 _
,I str.oo 5C
.-
Supen'isor License Nurrrber
Constr Contr. Number
' Expiration Date
^:3/i7 lob
of Sup er-visin g Electrician
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no
Phone
OWNER INSTALLATION
cl
AR
the
for sa
r\'
Energy/Co
7oh Stirte Surcharge
87o Administrative Fee
'$50.00
s25.00
$45.00
3ro
t/Oo
mm
N'Iinimum Electric Permit Inspcction Fce is S-t5.00 * Surchargc.s
da)
4. SUBTOTAL OF ABOVE JC)-
5l;2
Orvncrs
TOTAL
ELEC I RICAL PERMIT APPLICATION
$ 106.00
days
(eao)
Nerv Alteration or Extension Per Panel
One Circuit
$375.00
, $69.00 .-
$ 100.00
Expiration taloi o'3
C. Tentporary
Institllation,
D.
Oryners N
ojs ", E l?*k
6r
$43.00