HomeMy WebLinkAboutPermit Electrical 1997-4-9
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225 FIFTH STREET &~roroval. /l /' . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 , L\...I a c;.
INSPECTION REQUEST: 726-3769"n" City Job Number ,t 0 5 ) -/
OFFICE: 726-3759 C' IJ.::.!L::J!t11 ~
)''''--, - ,J r& COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALi1ATIOlfl Si~nature .
/qIJ!? /Y7a/n "vi. A. New Residential-Single or
Multi-Family per dwelling unit. .
LEGAL DESCRIPTION Service Included: .
1"1()'3 sf", LlA noCifJO Items Cost Sum
JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical Contractor Son it ro I Secu r i ty or Relocation:
Address P.O. Box 21009
City Euuene
Phone 461-5678
Supervisor License Number /68'9 I?t::T
Expiration Date
/0 -/ - 99
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 65149
Expiration Date ,7-2000
Si~ure of s~vising Electrician
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Owners Name
MCJ'L
bA<
Air
Iq(j~
fh fl-i n
Address ~~r,n.~
City ~<) 1/12-
r
01lNER INSTALLATION
Phone _74~ -fa')C"r::,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:/I _~
RECEIn ii:'. ~.
RECEIVED BY: .- a1ftaaf'\
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see liB" above
l5r
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation . $ 40.00
Sign/Outline Lighting-----. $ 40.00
Limited Energy/Res $ 20.00
Limited Ener'gy/Comm / $ 36.00 ~
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
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