HomeMy WebLinkAboutPermit Electrical 1996-1-18
.
\~~H'()3
B S 0 (~\u )
-transferab;e and ~ire
started within 180 days
if work is suspended for
Permits
'if work is not
'of issuance or
180 days.
CONTRACTOR INSTALLATION ONLY /
Electrl 1 Contractor /
/
Address
City
, Supervisor
ture of Supervising Eiectric
.
SPRINGFIELD... .
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof ,
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. Services or Feeders
Installation, Alterations
or Relocation:
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
",ii. ~
Cost Sum
$ 85.00
$ 15.00
$ 40.0Q
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.QO
C. Temporary Services or'Feeders
Installation, Alteration or Relocation (JC)
200 amps or less --L $ 40.QO 1f)2
2Q1 amps to 400 amps $ 55.00
Over 401 to 60Q amps $ 8Q'.00
Over 60Q amps or 1000 volts see "B" above
;. ~l/JIers NameJtlttll(J.l~~D.
Address, (~~~~
Cityptione.1ffi'~1(p
. -. ;I.I~:
..Hh , . -i,L\!r f...~...v ,
.."prova!. , ~ P--/
225 ,FIFTH STREET ZOning 1/' ELECTRICAL PERHIT APPLICATION
SPRINGFIELD, OREGON 97477 [;,,10 1- -}c? flt:!.\On (".I
INSPECTION REQUEST: 726-37A~~orizedSlgnatura ..42..-<D City Job Number ~r-, 1\L."t\
OFFICE: 726-3759 ' I
3. COMPLETE FEE SCHEDULE BELO\I
1. fWa.T T~IOV .Qf_.,r!l~~.,lLA".OT,Wi " -L.
lA\ ~ 11\'~ \'~ A. Ne... Residential-Single or
Multi~Family per dwelling
Service Included:
The installation is beirig made on
property I own ,...hich is not intended
for sale, 'lease or ren t. '
,Owners Signature: " " , .
~~~~I~
RECEIPT, i: ,,\ 1 . ~ ," - ^,~!'.Q
RECEIVED BY:~l )N,\'Rf\'
Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation'
Sign/Outline Lighting
Limited Energy/Res
,Limited Energy/Comm
One Circuit
Each Additional
Circuit or ...ith ~er~ice,
or Feeder Permi t
E.
5.
SimTOTAL OF' ABOVE
5% 'State Surcharge
,,".MIML. ~
$ 35.00
$ 2.00
not included)
$ 40.00
$ 4Q.QO
$ 20.00
$36.00
4P.. CO
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