HomeMy WebLinkAboutPermit Electrical 1996-3-7
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ELECTRICAL PERMIT APPLiCATION
225 FIFTlJ STREET Zonl J 17 /7 ,
SPRINGFIELD, OREGON 97477 ~ ~o(//L-/
I~SPE~ION REQuEsT: 726-376O)e :S/~/1~
OFFICE. 726-3759 AuthOr1z~SI
~ gnature
F.
1. 1~H'ION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if.vork is suspenaed for
180 days.
2.'- CONTRACTOR INSTALi:1ION ONLY B.
Electrical contracto~~ ~le~
Address, \). \\) . ~ 9 A -
Cityt<\il~o.n.b.- Phone 111o'1~
Supervisor License Number c9 '3 5~
Expiration Date to' t~q1
Constr Contr. Number ~ \Dc9-3l~'
\{J. ~.~qltJ
.-$ature of sU\5~an .
Address f\DS in.
Ci ty &'<D.fi\(L Phone 001. f(f(f2D
OVNER I~TALLATION
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
.
Ovners Signature:
DATE: ?- 7.,,%"
RECEII'T II: .7&:>~~ :2
RECEIVED BY: ~~_
Ci ty Job Number 9~~~~
~~PLETE FEE SClJEDULE BELOY -
A. Nev Residential-Single or . ,
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf' d Home or
Modular Dvelling
Service or Feeder $ 40.00
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
t/ $ 50.00 ~
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "Bu above
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit /
$ 35.00
$
C"C'
2.00 ~.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
s.
$
$
$
$
-5'2. -
~.~
L'%
5; . i~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL