HomeMy WebLinkAboutPermit Miscellaneous 1997-2-13
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726-3769";Zl'<1 S;'Jc '\~t co._A) 1':1_
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE:, 726-3759
1. I LOCATION OF INSTALLATllpl!, ..I-
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Permits are non-tran ferable and pire
if'vork is not started vithin 180 ays
of issuance or if vork is suspended for
180 days.
CONTRACTOR INSTALLATION ONLY
Contractor
City
Expiration
~
""-----
of Supervising Electrician
o _
Ovners Name~~fu!r G~_\~ V ~ .0.
Addr~lo1~(/\'{\~\~V\ ~~~_
City \t[~OG~Phone ~(,~
INSTk\LATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
;..'~"-~ ^-
~;~~-7!f{!;:;--"~l:~~----
RECEIVED BY: II '
-- ~ -
3.
ELECTRICAL PERMIT APPLICATION
_~i.t>:_:~.ob Number Q\O\~~~
Nev Residential-Single or ~
:::::::m~:: ::~::l:::O:ni t. ~
Service Included:
Items Cost Sum
A.
;
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 40.00'
$ 85.00
$ 15.00
B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100u
'Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
"
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Servic~
or Feeder Permit ~ $ 2.00
l.1..IL
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Li11~e~)(~ergY/Comm vJUJl $ 36.00
5. '-S'trlITOTALO~W) ~I),;?~OO
5% S ta te Surcharge J. -;>"e<.,
3% Administrative Fee ,K''-
TOTAL CJCI. i I,!