HomeMy WebLinkAboutPermit Electrical 1997-6-6
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97477 - ',",
726-3769
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. 4\9[~~4\~T~&~'\\i~
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~OB D~SCRIPTION
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Permits are non-transferable and expire
if vork is not started within 180 days
of issuance or if vo~k is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contractor~\f"~tt
Addressrl4'1\ ~ \.\1. ~l\:~\\q
Ci ty \\\ \\cs'\1)'<D\ O~ Phone!iJb tf::10't lD<6't1
'Supervisor License,Number :\~~i\~
\().\.c\<6
Constr Contr. Number ()\\~CY\\
Expira tion Date 4. . \~ .C\ ~
~~lectriCian
Ovners Name~e~~~~ ~
AddreSs\\)() ,\~ A~()~~
City,\ ~\\~- ~honefiJ~5\~
O~ INSTAL~TION lo ~ 1 <6
Expiration Date
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
DATE~---------------\O~~C\~-------:
RECEIPT #: \. \, 'V\. 'r~\^t'\\A"
RECEIVED BY: \1 \i {)J-~
ELECTRICAL PERMIT APPLICATION
Ci ty JuL' Numbe~ C\la O~\
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
\f)DpO
~DPJ
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
Items
A
A
Cost
$ 85.00
.s 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 $ 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, 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. SUBTOTAL OF ABOVE A;o90
5% State Surcharge - \ \ .So
3% Administrative Fee Ln .qO
TOTAL N4 K' ~