HomeMy WebLinkAboutPermit Electrical 1997-3-13
S.iGFIELD
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-379.~l.'0'i!ed Signaturo
OFFICE: 726-3759
1. \O~!~bt
--1iQ~~l)~2.o')
D SCRII(l\ION .
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are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
ELEcrRICAL PERMIT APPLICATION
Ci ty J.;b Number q 703 G Co
3.
COMPLETE FEE SCHEDULE BELOV
Ney Residential-Single or ~
Multi-Family per dYelling unitc'ost .,. u"m' .
Service Included:
Items
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'DYelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
\1 ..4- Cl -l-- Installation, Alterations
Electrical Contracto..::?\~O.I{\ ,{ i Q~..L.J or Relocation:
Add:J5SS \C\I\O ?__~-\-V\ d ~. . 200 amps or less ($ 50.00 ~
~ ,..(j ,;\..., I'VJ\"'J.. 201 amps to 400 amps $ 60.00
Cit. 1 ~ Phone r-r I .~~ 401 amps to. 600 amps $100.00
\ \. ~~Iltl..S 601 amps to 1000 amps $130.00
Superviso /License Number ~~ Over 1000 'amps/volts $300.00
\.D. \ .1IIt#I1 Reconnect Only $ 40.00
Expiration Date -(JJ
\1\. ,,^ 1\ C. Temporary Services or Feeders
Constr Contr. Number .~. r I ~ Installation, Alteration or Relocation
(~''J..~
Expiration Date
~i~~)iSing Electrician
-/ \...V ~
O~ners Name~\~)r ~ .
hdress \Q~.~ ~~r)_l(\ ~
/~~ ty . PhoneJ& ll.2d
The installation is being made on
property I oyn yhich is not intended
for sale, lease or rent.
Owners Signature:
------------~-------------------------
DATE:__ '6 -to -q 7
M"...u'T 11: 2,l(9;l-/-z,
RECEIVED BY: tk.-
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 100V volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB"
above
Ney, 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 yith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
_~90
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