HomeMy WebLinkAboutPermit Electrical 1995-11-23
I:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477 Authorized Signature
726-3769
1. J,OCtgt OF
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J1F;38'?~lION() P()O
, ,..lPBJ\ DESqliPTION (\ f\. '"fl--r..",
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pe.mTts are non-transferable and expire'
if Y6rk is not started within 180 days
of issuance or if work is suspended for
180 days. . ~
.CONTRACTOR INSTALLATION ONLY
Contractor
/
City
Supervisor
Expiration Date
Constr Cont '. NumbeL~
Expirati Date ""-
of Supervising Ele~
Owners Na~e\\ fY\.r+lI".D~
Addre~f)l ol olDI.~~~\J(
Ci ty ~J.&lL.Phone~\;~ YEt
01lNER '\N~'~TION
The installation is being made on
property I own which is not intended
sale, lease or rent.
ers Signa ture
1ltM..
DA~~~-------------~ ~~~~--------
RECEIPT: , .
RECEIVED V~f). _ /
City Job Number
3. COMP~TE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
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
C.
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
ill
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 vol ts see "B'~. a!Jove
D.
Branch Circuits
New, Alteration or Extension Per Panel
"
One Circuit $ 35.00
Each Addi tional
Ci rcui t or wi th Servic~ '{ /l
or Feeder Permit .~ $ 2.00 ~
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limite~ Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 3[(j
6(0.
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