HomeMy WebLinkAboutPermit Electrical 1997-1-24
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225 FIFTH STREET ' ; ,,_kDJ2-~ -
SPRINGFIELD, OREGON 974P ("2.4-- 17
INSPECTION REQUEST: 726-3769-' N M
OFFICE: 726-3759 Authon'-,~ ~'V'~'-"
3.
1. \'A~~ONr% INSTALLAT,ION
LEGAL DESCRI~
n lJ?l'l1t4 \ \ ?..1JJO
~ ::'011. DESCRIPTION . u
~l '\ -"l., l'IJ\.QAIIT"':)
ELECTRICAL PERMIT APPLICATION
CitY.J~b Number q !ol(O~O
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof '$ 15.00
Each Manuf'd Home. or
Modular 'Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
\ IllY .'(). n -\-Installation, Alterations
Electrical Contractor}j' Pa..7-~f , 'l\ \\1f( Ueo or Relocation:
Addres's \)() ~ \.\ \ - -'. 200 amps or less I
\. "^ L . \\ l4 \0 Llt\A..CI' 201 amps to 400 amps
Ci tYUI \-wnll P Phone ;\1JTO 401 amps to. 600 amps
':l.. '"J.() ~ 601 amps to 1000 amps
Supervisor. License Number ~~LD~ Over 1000 amps/volts
\'"" . \ . Reconnec t Only
Expiration Date \ )
Constr Contr. Number \O~
Expiration Date
~.\~.
I'
,
Signature of Supervising Electrician
IU/)~' .
Owners Name \}J~Y_ f1\rfu.rl'\
Address$lC\ n\~~ .
City ~~~ . Phone~IfIt;)'lL
OVNE1~ I'M,TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~~~-~4f:~~-------------------
RECEI PT t: .z. <16 ''r I
RECEIVED BY: ~/.
"'i/
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
-.no
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 100U volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
. New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ::) $ 2.00 LQ
no t i neluded)
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
. 3% Administrative Fee
TOTAL'
$
$
$
$
~It~
I . lo>t\
-l.o-{) .I\-~_
40.00
40.00
20.00
36.00