HomeMy WebLinkAboutPermit Electrical 1997-3-7
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225 FIFTH STREET Zonina
SPRINGFIELD, OREGON _?) 4 77 P>-].::J:1
INSPECfIQN REQUEST: 726=:3"'l69 ~r^
OFFICE: 726-3759 ,\ll:horlzod Slgnaluro
~~TlfN~IIINSTAL4ATION
ELECTRICAL PERMIT APPLICATION
,Ci ty . Job NwnbE;r !1.itl!ilJ
COMPLETE FEE SCHEDULE BELOV
3.
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
DESCRIPTION f? ~
o rOuJlJ
Permits are non- ransferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACfOR INSTALLATION ONLY B.
Electrical Contractor \1"P\ lS\tJ\r\:') fl()&
Address~~ 0p{\~\ \\lDd .
City S "G~ Phone ?A'?J..J.illJ
Supervisor ~ic'ense Number ~~tJS
Expiration Date ~\\. ~.
Cons tr Con tr, Number \"\ 'L c;:{,)_
Expiration Date ~,~,
Signature of Supervising Electrician
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'ovn~am~+- ('v?lmJ/
Add ress ~4LJ ~ :fu I dt, vi to Lu..h~
Ci tSorIrr;~Phone jl./7-(o7(}f
~R I~STALl.ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~--:s-t---1Z1'~------~----------
RECEIPT #:' I, i.Y i u 7'1Q
RECEIVED ,BY: .' . r)f Iftl
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular .Dvelling
Service or Feeder
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.
Items
Cost
Sum
$ 85.00
'$ 15.00
$ 40,00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps' 'or less L $ 40.00 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps Ot. 1000 vol ts see "B" above
Branch Circui ts '
D.
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permi t
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$
$
$
$
LID. DO
"JDU
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40.00
40.00
20.00
36.00