HomeMy WebLinkAboutPermit Electrical 0-3-24
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974 rruttloriZed Signature ro.J
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. . LOCATION OF I~~TALLA~N
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LEGAL DESCRIPTION
170~ ?0/~ O~(t>b
__JOB DESYRIPTION
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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
Contractor
Ci ty ~ Phone
Superv;.or Li~e Number
Expiration Date ~
Constr Contr. Number ~
~
Expiration Date
Signature of Supervising Electric~
Owners Name~1JI)ilJJYlt1A~-,
Address 00-::::;'" ~ ~
Ci ty. ~Kc.C I DrL Phon1:?4:V74-1 -{cRq-l
OVNER INSTALLATION
The installation is being made on
property I .own which is not intended
for sale, leas or rent.
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----------------77L--------------------
DATE: ;?/ 3- "2-11. (f7)
RECEIPT #: (I' 7o? CJ
RECEIVED BY: 49tU. '?
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOY
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feede~
B. 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
Items Cost
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
New, Alteratibn or Extension Per Panel
$ 35.00 ~ S
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit l
;)...
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
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I. II
.s, 4o.1D
40.00
40.00
20.QQ
36.00