HomeMy WebLinkAboutPermit Electrical 1997-8-20 (2)
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225 FIFTH STREET COA", O.-9J~~'j ~ih,., ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON ~AJli4t(:'M~~UM:~~ure-.O VV\ . 'I q
INSPECTION REQUEST: 7~~6~(:'D6." ~t~jJ ~~IY(:' Ci ty 'J~b Number '1 ("(<?()
OFFICE: 726-3759 DAly ~ /~ 7gs $1';
, ,o(:'~a 4';f~ ~-'9~ e'~TE FEE SCHEDULE BELOY
1. {.O.s:;AT:ON 9f_ ~li5!ALLATION J ~ f)O~ Vl'/8 ~-t
l"t5 0 \'lJUf1"( urtD ~D,("A1eVlt@.rsidential-Single or
~lti-Family per d~elling unit.
~~~~S~PTION ~~ Service Included:
/, JU5;V )3.") n"ru Items
, -
rO. J~~~040_
2. CONTRACTOR INSTALLATION ONLYB. Services or Feeders
\..1 fl-,rt-): Installation, Alterations
Electrical Contractor el\~t)\(\:S Q1.)\; r-Cor Relocation:
Addres-s~ 0f'f\ - \ \\1\'"
City U~O~ Phone ~'~:illJl.l
Supervisor License Number ~~lJ~
\C\ \. 1~
Constr Contr. Number \~~~
d--~ "9~
-,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'D~elling
Service or Feeder
~.
Permits are non-trans e able and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
Expiration Date
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
C.
Cost
Sum
$ 85.00
'$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
;
200 amp~~T less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
O~n
of Supervising Electrician
~~~--, ~
\J.~ iv ~l\-\-m _ ~
Cili-tx\ lCYXlA
Branch Circuits
D.
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Addre,s \4.,
Cit~,~~' Phone
d~ USTALLATION
Ne~, Alteration or Ex~ension Per Panel
a.~. COO
$ 35.00 ~
$ 2. 00 ~
''"-' \
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Addi tional
Circuit or ~ith Service
or Feeder Permit l
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
E.
O~ners Signature:
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
DATE:
RECEIPT #:
RECEIVED BY:
t
not included)
$ 40.00'
$ 40.00
$ 20.00
$ 36.00
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