HomeMy WebLinkAboutPermit Electrical 1997-2-19
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225 FIFTH STREET D.:~=-lfl_i:1 .
SPRINGFIELD, OREGON\c97.47}j SI:JI'tl'rC JJ.. k A
INSPECTION REQUEST: 726-3769 - -1"1=-
OFFICE: 726-3759
-------. ELECTRICAL PERKIT APPLICATION
'h;City ~Ob Nwnber9Lj rt I Lf
''';03'. p'COHPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION:" ;"0"" 10<..'. ".' '..,. "~
} Cf,;l() 0(...".","" ,II,^- A. New Residential-Single or
I · Mul ti-Family per dwelling uni t.
cJe":;..CRI~~.::, )7D3J..S1lo77ajervice Included: Items
Cost
Sum
~DV\
JOB DESCRIPTWN
-rc:....", "",.../ H "'<oL
J
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home. or
Modular 'Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical Contractor~ LJ,,"v E.."L:'-..
Address </do:;;. '-0 la i'tl I .
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
City ~~ Phone G?fb ~
Supervisor License Number .32 &;l. ~
Expiration Date IDleri'
Constr Contr. Number ~[)-I't&C
lDI'19
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00 J
$ 55.00
$ 80.00
see "B" above
Expiration Date
200 amps' 'OT less /
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Sign~f S . ctrician
H&A~ . ,/
ow:ersr Name)) i;;1 rl.J1A~ Ivu'J -'
Address(~(d) / 5Mf--Z!
Ci ty 59 Cfl A/l/\. Phone 5'3/- 6 ( fii)
Branch Circuits
D.
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New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
OllNER INSTALLATION
$ 2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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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 4000. "
5% State Surcharge ?o c>~
3% Administrative Fee .{ ~ ~
TOTAL '-I. ~ z,j<>
Owners Signature:
DATE:
RECEIPT 11: I
RECEIVED BY: