HomeMy WebLinkAboutPermit Electrical 2004-02-03225 FIFTH STREET . SPRINGFIELD, OF.97477 O PH:(541)726.3753 T FAX: (541
ELECTRICAL PERMIT APP LICA
City Job Number Date
3.
projec! as submitted has the follo r^/lng
does nol require specific land u.,eapproval
Date
Zoning L\r'L
d.--0
$ 106.00
$ 19.00
$ 63.00
$ 7s.00
$ 125.00
$ 163.00
$37s.00
$ 50.00
1
LEGAL DESCzuPTION
JOB DESCzuPTION
Z Z Z
Permits are non-transferable and expire if work is
not started within 180 days of issuance or if work is
Suspended for 180 days.
A. Nerv Resitlentiat - Single or }lulti-Famill' per drvelling unit.
Service Included
1000 sq. ft. or less
Each additional 500 sq. ft. or
portion thereof
Each Manufact'd Home or
Modular Dwelling Service or
Feeder
$50.00
'l
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B. Sen,ices or Feetlers - Installation, Alterations or Reloc:rtion:
1
Electrical Contractor DY\4 *C \-.l-rui.
Address 1?lO 3,51 T,+ sl-
*U Pt,one 5t-13O5?City
Constr. Conff. Number Zn - *5g c_
Expiration Date
Signature of Supervising Electrician
Owners Name
Address
City
OWNER INSTALLATION
Installation, Alteration or Relocation
200 Amps or less $ 50.00
201 Amps to 400 Amps $ 69.00
401 Amps to 600 Amps $100.00
Pump or irrigation
Sign/Outline Lighting
E
Minimum RteZtDt
AtilY
200 Amps or less
201 Amps to 400 Amps
401 Amps to 600 Amps
601 Amps to 1000 Amps
Over 1000 Amps/Volts
Reconnect Only
7%o Srate Surcharge
l0% Adminisffative Fee
TOTAL
Shared Driv{T: /Building Forms/Electrical Permit
Over 600 Amps or 1000 Volts see "B" above.
D. Branch Circuits
New Alteration or Extension Per Panel
One Circuit $ 43'00
Each Additional Circuit or with
Service or Feeder Permit S 3'00
E. l,Iiscellaneous (Sen'iceifeeder not included) -Each lnstallatiort
$ s0.00
$ s0.00
9'OBK
Supervisor License Number \554 s'C. Temporary Services eir Feetlers
Expiration Date l0 bl
ication
4-
I -03.doc
a
OF INS'TALI-A?ION COMPLETE FEE scHfrltrkw&P{rRl{s/'
Ph,"" ?,74:14,5
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