HomeMy WebLinkAboutPermit Electrical 1997-7-28 (2)
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225 FIFTH STREET ~O ~rr.\t-\'i CO \j~'V~rr. ~_ ~~'VO~:bm~\' <1 ,,-J;:U:0TRICAL PERMIT APPLICATION
SPRINGFIELD. OREGON ~~~a1lC.)}jO':I'i'i\S t-~c\ es uire npco"ic I~nd u.J ~ "7 r--
INSPECTION REQUEST: '7 ~\I"""'~'!h-Y~P'P..o OQ~ not roq J' Ci tyJob Numb<rr 7'7 tJ..) /' .J
OFFICE: 726-3759 t>I ~~~rnov~~rr.~ '\ A Yr,
- CO~ '6<:1 'V~'l Zonir.o 6.^-- -::.GIlPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLA~N U/<f1
-'-~5L9 'Z>erS..c# DEdo1!... ' rl.I'fJI'iAResidential-,jiingle or
Auth r1zedSlgnalUre....!...l:l4lL-tdllllJ.Y per dvelling uni t.
o Service Included:
Items Cost
LEGAL DESCRIPTION
/It:r3?.h II & t:J...;L..tPO
JOB DESCRIPTION
/$r?/ eco--c..,/
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~p \ lS\\)\~0 fl()()t
Addres-s~~ 0pf\6\ \\lDd .
Ci ty & ~~ Phone .'1A?i119J
Supervisor License Number ~.~~~
\f\. \.
Constr Contr. Number \\IJ...~
~.~,
Expiration Date
Expiration Date
Signature of supe~~
." D.
W.6l~.c.
Address ~S-cP 7::>.tn?"c#
Ci ty S'~l:> Phone
,
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~==:J~--~~~--~-------------------
RECEIn If: . (,'1
RECEIVED BY: W.___
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular 'Dvelling
Service or Feeder
$ 85.00
.$ 15.00
$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
$ 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 -L $ 40.00 ,yo.o?>
201 amps to 400 amps' $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 100u volts see "B" above
Branch Circui ts
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
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. SUB TOT AL OF ABOVE -f"tP. c- C/
5% State Surcharge ;)., O'C?
3% Administrative Fee / , ,.?.&'.
TOTAL ~ -0/1 r :?-o