HomeMy WebLinkAboutPermit Electrical 2000-5-19
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S.GFIELD
The following project as submitted has the following
zoning, and does not require specific land use
approval.. . L 1) rL--- .
Zoning
976J.l C? - I C; - <7--"\
726-3769 ~
Authorized Signature
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
r,LECTRICAL PERMIT APPLICATION
City Job Number OO'OD)7/-0l
3. COMPLETE FEE SCHEDULE BELOY
1- ~aATIr OF I~ST~TION
,'5 l Ol.:::t S* A. New Residential-Single or
Multi-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
/7o-;;J.()f) II O}.:;;.OO Items Cost Sum
JOB ~ESCRIPTION 1000 sq.ft. or less $ 85.00 t S ."Q/
.pIP- Each additional 500
sq. ft or portion -:J.... )8
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home. or
of issuance or if work is suspended for Modular.Dwelling
180 days. Service or Feeder .$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B. Services or Feeders
E~~9c;j .. Installation, Alterations
Electrical Contractor E I J ScLnJl(~1;1^c.or Relocation:
Address '3']0 S 'PlWlo, C..o'Ur1' . 200 amps or less $ 50.00
r; 201 amps to 400 amps $ 60.00
CityL-UbF)JF PhoneJ-<Yl-hqO<i, 401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Supervisor License Number ~~()~S Over 1000 amps/volts $300.00
Expiration Date /()/()(/()/ Reconnect Only $ 40.00
/ I C. Temporary Services or Feeders
Constr Contr. Number 1'36 ?/7/ Installation, Alteration or Relocation
Expiration Date O'?//2/0J
Signature of Supervising Electrician
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Owners Name '5; €.:l0U\.... R..,JdQllslS
51? I X 'i5 Gr vdJiA.tP-"..;J,.O f? D\.
Ci ty $Jf.'N-..r:-~),-J Phone ~41...../-;'> ,;2.(;-;r
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OYNER INSTALLATION
Address
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT #:
RECEIVED BY:
200 amps. 'OT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
above
D.
Branch Circuits
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
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 Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
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