HomeMy WebLinkAboutPermit Electrical 1997-2-7
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97\4)1~1IZed SiQnatu,.-1LM
726-3769
lZ.5 FIFTH STREET
SPRINGFIELD. OREGON
INSPECTION REQUEST:
OPFICE: 726-3759
1. LOCATION OF INSTALLATION
\ '2,C\l.c I\I\AnJ ST.
--'"
ELECTRICAL PERHJ:T~PLICATION
LHY Job N\llIIbe. '1blr~~
3. COMPLETE FEE SCHEDULE BEr..oV
Items Cost
'17rg~rJ~:IlJ3!M1
A. N4V Residential-Single or
Multi-Family per dvelling unit.
Service ~ncluded:
JOB DIlSCRIPTION
-:-'1':' Bor1..bO\UU.f6r-.....~ \tt:."T~
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is susPQnded for
180 days.
1000 sq.ft. or less
Each additional 500
$q. ft or portion
thereof '
Each Hanuf~d Home, or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTBACTOR INSTA.Ll.ATION 'ONLY ,B. Services or"Feeders
Inst~llatlon. Alterations
Electrical Contractor,K.s:s:p_ c:;'~ UJ-C.llr Relocation: ,
Address .1011 '1~ ~VE.
CityL.\tlrn1A ~,'r\ Phone !;Lt1-'"l~_~~1
Supervisor l..icense Number ~.,\c;t
Expiration D~te\o'\ b~
ConstrContr. Number O'J..':2,!;I^~
EX:: :.:RJ Da t e .., I 'l~ \ OJ.,
Si:2Ji ?erViSing Blec~rici&Q
Owers Name. 7-11
Add re$S 13QlO Mn i h 51-.
Cl ty Sr('iV\~J.rj Phone
, ............. IN~ALIJ\nON
The installation is being made on E.
property I OVn vhich is not intended
for sale. lease or rent.
Owners, Si~ture:
---------------------------------------
2-7-q7
2HW::J. '5 ,
W_,
DATE:
~.Lr1lf'
RECEIVED 'BY:
l
~OOIlJ
'll~S ',\~a <1-IdS
200 amps or less
201 amps to 400 amps
401 amps t'0.600 amps,
601 amp$ to ,1000 amps
Over 1000 amps/volts
Reconnec,t Only
C.
$ 50.00
$60.00
S100.00
$130,00
$300.00
S 40.00'
Tempor.ry Services or Feeders
Installation, Alteration or Relocation
D.
200 amps"QT less
201 amps to 400 amps
Over 401, to 600 amps
,Over 600 amps or 1000
Branch Circuits
S 40.00
S 55.00
, S 80.00
VOltG see nB" above
New, Alteration or Extension Per Panel'
,-
One,Circuit ",I
Each Addi,tlonal
Circuit or with Service
or 'Feeder, Permit
$' 3~.00 ~C().
$ 2.00 :l.ClC;l
Hi$cellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
,Limited Energy/Res
Limited Energy/Comm
5;
SUBTOTAL 'OF ABOVE
5r.'State Surcharge
3% Adminis,trative Fee
TOTAL ' .
6~9C nL cosQ,
no t inclUded)
$ 40.00
$ 40.100
S 20.00
$36.00
<-37.:001
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