HomeMy WebLinkAboutPermit Electrical 2000-4-13
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
. A.
ELECTRICAL PERMIT APPLICATION
City Job NUlDberJf).{)~
COMPLETE FEE SCHEDULE BELOV
3.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
\~~ ~~. 1000.sq.ft. or less
Tach additional 500
. sq. ft or portion
ransfe Ie and expire thereof
started within 180 days Each Manuf'd Home. or
if work is suspended for Modu1ar.Dwelling
Service or Feeder
Items Cost Sum
l $ 85.00 ffi
't $ 15.00 .3)
.$ 40.00
Permi ts a e no
if work is not
of issuance or
180 days.
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
Evt:!Y.UC7J.l .. Installation, Alterations
Electrical Contrac tor Elec'tnd..1 ~;,Q:<\ll~]ilC. or Relocation:
Address '3"1 '7 3 'PMlo, C ~vrt . 200 amps or less
Ei. 201 amps to 400 amps
City Ur-,!9JF" Phone~(')~-hqO~ 401 amps to 600 amps -
601 amps to 1000 amps
Supervisor License Number l.(.~6<l.. S Over 1000 amps/volts
/ I I Reconnec t Only
Expiration Date _()/()ILC21
( I
Constr Contr. Number /5631/
Expiration Date O<l//2/01
Sign~t~ of Supervising Electrician
1f,}IfM/H ot ~ '71l
Owners INam~i-tn. ) ~PK
Address ~~\$ m~~
City~ Phone~;~lll
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT 11:
RECEIVED BY:
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps. 'or less --L $ 40.00 4{)
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
C.
D.
Branch Circui ts
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
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