HomeMy WebLinkAboutPermit Electrical 1999-12-13
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225 FIFTH STREET
SPRINGFIELD. OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATION 4..QOIYlA~'..st", 3.
1-\7'" Ni".~ ~"'()ID?r:.f..'tS..11' A.
~t5'ii,~fr) 22-01
97F1tlJ'
7 ~9U'j! Signature
JOB DESCRIPTIq~_ '
i? ~_ .",~ .. TT\ S 1.;'1",0(>.1 S""d"':cJ'\
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor "tll"f,u..1I ~'1l!.
Address t40IM F,o~TM- b_' N lei,
City ~1~1~ Phone ",)4"1'~11..'"
Supervisor License Number ~'i16':\
Expiration Date Ill-OI-O \
Cons tr Contr, Number 70 - ~41..t.
Expira t ion Da te 10-' ClI' eo
Signature of Supervising Electrician
~~
Owners
Address
City
q1'-fp}.~ne..~
iL.ll-$4oq
OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Ovners Sig:;r::'-r '"R~II
~~~~~-:~'--1~-~~t7.-~~-~-------
RECEIVED BY: h ~iiv .L.--"v~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number qq It.( q I
COMPLETE FEE SCHEDULE BELO\I ~
New Residential-Single or
Hul ti-Family per dwelling uni t. ':
Service Included:
Items
Cost
Sum
B.
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft,or' portion
thereof ',' $ 15.00
Each./rManuf'd Home, or
Modular 'Dwelling
Service or Feeder ,$ 40.00
"/C{~
Services or Feeders ,', ~
Installation, Alterations . ",~,
or Relocation: "J ",,,(,
I'. .1,
C.
200 amps or less $ 50.00
201 amps to 400' amps ", ,,$' 6,0.00
401 amps to. 600 amps?" ,," ',: $100.00
601 amps to 1000 amps 'Le',,',' ($130.00
Over 1000 amps/volts u, $300.00
Reconnec~~nlY $ 40.00
Tempor~~ ~~~ces or Feeders
Insta~~~'A1teration or Relocation
CQ -, -YO..o, ~11' '
20~tVl~SOi'<~.A~, $ 40.00
201 ll:'~~"~ latllrilt- $ 55.00
Over 4U-lOJf~ ~Al~~~ $ 80.00
Over 600a~ ~ ~oog'nvO'~[ see "B" above
i9/Q 4s.4, r.s-.o~ '-Y~
Branch Circui t~ '1tOO..., '9~~ /rt.r0~ . ,.
'~O <5' A,:Jif"
New. Alteration or Exten~~pe~ Panel
One Circuit I $ 35.00 '~
Each Additional
Circuit or with servic~~ 7~oO
or Feeder Permit IVI $ 2.00 ~
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
D.
E.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5;
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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