HomeMy WebLinkAboutPermit Electrical 1997-1-8
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SPRINGFIELD
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Authorlzoo Signature ~ M
97477
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. L~~~~tl&
\ "" l<e~~ 1?lSElPTION
~-..J""1""f O~
J~ ~ut~Q, B.Ja31
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contract~~~'I\\\nQ\Qtt
Address \ 9-.C'J '(\m~'t1~'n'~
City f t~n(L ~one1~~."i1l~
Supervisor LIcense Number '?JC\~~
Expiration Date \(). \. q'l
Constr Contr. Number C\\lfrl..f')~
Expiration ~ate \. Q.~ .c\r')
Sign~~~~~~rician
Owners Name~lQ~~l ~j)
Addressjtjg", Po1l.Qflf~
Ci ty_Y l''C(}1l~ _' Phone +%s'3Op
O\INER ~NSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--------\J6~'l. -----------------
RECEIPTlI: "A'/,~Oa
RECEIVED BY: .. "&1R<V\ \\I\I.\WnV
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number Q lol totoq
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less --L $ 85.00 &2
Each additional 500
sq. ft or portion -1L "\5
thereof $ 15.00
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
L..--- $ 40.00 ~aJ
$ 55.00
$ 80.00
volts see "B" above
.'
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
.5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
$ 35.00
$ 2.00
not included)
$
$
$
$
/70.~
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40.00
40.00
20.00
36.00