HomeMy WebLinkAboutPermit Electrical 1998-6-11
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225 FIFTH STREET z ' f'YI A ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 / on"lQ~V (JON /2C
INSPECTION REQUEST: 726-376f9at"L{l-II--9 X - City Job Number~ ~LlO(J. J
OFFICE: 726-3759 Authorlzed~ .{)hA.MPLETE FEE SCHEDULE BELOY
L L~A/ON/?tIJI;;..w..lI'TION J ~
" I)i l.J..(LJ:.[fl/ (L. LY\()~ A, Ney Residen tial-Single or
Multi-Family per dyelling unit.
l1f3~!1~~N IIOCO 1;,'t'% Service Included: Items
~B DESCRIP~ ~-; ~ 1000 sq.ft. or less
( ~. Each addi tional 500
- ~ .~ ~ sq. ft or portion
Permits re non transferable and ~l~ G< ~ thereof
if york is not started yithin 180 ~~ ~ ~ Each Manuf'd Home, or
of issu~nce or if york is suspended~o~ ~ ~Modular 'Dyelling
180 days, U 'Z ~ ";!Service or Feeder
, ~ ~ "6>~
INSTALLATION ONL/ 'f!!. ~~vices or Feeders
~ ~n~llation, Alterations
al Contractor ~ ~ ~ocation:
/ -<>tPO
~O~a~ or less
201~mps to 400 amps
401 amps to, 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Address
Ci ty
Supervisor
Expiration Dat
Constr Cont~Number
~
""
of Supervising Electr~
Phone
O\INER INSTALLATION
The installation is being made on E.
property I oyn yhich is not intended
for sale, lease or rent,
Owners Signature:
<>7 ~~..--~
A~~~~-:'_---~';---G-.-rLqy-,- 5.
RECEIPT jf: \=.I:: I ili fi t\~
RECEIVED BY: L ~ \l ~ LJI,; _
Temporary Services or Feeders
Installation, Alteration or Relocation
1fl
C.
200 amps' 'OT less -L
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
Cost
Sum
$ 85.00
$ 15,00
,$ 40.00
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40,00
$ 40,00
$ 55.00
$ 80.00
see "B"
above
.'
Ney, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
CXJ
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