HomeMy WebLinkAboutPermit Electrical 2002-01-09LEGAL DESCRIPTIO honzed Signature
JOB D N
Permits are non-transferable and expire
if r.vork is not started lvithin 180 davs
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
th46tpdil&
land use
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Insttllirtion, Alterations or
Relocation:
ELEL 1 zuCAL PERMIT APPLICATION
Cost
$ 106.00
$ 19.00
$25.00
$45.00
Gb ilc*l rlJ,-Electrical'
Address ,O
I1e
Supen'isor
Expiration Date
of Superv'isin g Electrician
OIVNER INSTALLATION
Signature:
The installation is being niade on
property I olvn which is not intended
for sale, Iease or rent.
201
Over
"8" abo\re
D. Br'anch Circuits
Nerv Alteration or Extensiot.t
E. l\Iiscellaneous (Serrice/feeder not
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited EnerglAes
Liurited Energv/Conun
Nlinimum Electric Permit Inspection
J. SUBTOTALOFABOVE
77o Strrte Surchltrge
8%n Administrative Fee
Fee is 545.00 * Surcharges
7
TOTAL 7 z.(r
225 FIFTH STREET
SPzuNGFIELD. OREGON 97]77
approval
OF
3. COMPLETE FEE SCHEDULE BELOW
or
Multi-Famill' per drrelling unit.
Included:
$ 5o.oo _
| $6300 G3
$ 75.00 _
$125.00 _
$ 163.00
$375.00
-
_ $ 5o.oo
-C. Temporary Services or Feeders
r,': Installirtion, Alteration or Relocation
I
c,+ Evghc 0t
t-
Expiration
Orvners
200 amps or iess
201 amps to 400 amPs
-10 1 anrps to 600 amPs
(r()1 nrnps to 1000 antPs
Over 1000 ampsivolts
Reconnect Only
$50.00
s69.00
$100.00
4/
^,rdressPO/&X ?afa/
city E/4, ?7y'a/ Pnon"?'fZ:E eeF Each Additional Circuit or u'ith Service
or Feeder Permit $ 3.00
-