HomeMy WebLinkAboutPermit Electrical 1997-9-29
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Date:?! /)q /11
97477 I I .
7 2~~3Gfg~ Signature A-1
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C\f\ \~\(
,
3. COMPLETE FEE SCHEDULE BELO~
~\,\~+04'tr1T~1t'~
LEGAL DESCRIPTION ~
\')s ()~ ()S 'rl..~. 0 ~(ti)
1.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq. ft. or less ~
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
(10
Jq!t DESCRIPTION
\lJ.~\<l)O \\s>No
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
Electrical contract~~\x\~~ ~
Address ~ \() LA 1\ \ ~ !J'l {t Q; '.
City &Dw~ . Phone ~fj .\0JfL
superviso~ License Number ~\~
Expiration Date \ r) . \ C\~
Cons t r Con t r. Number \ 3\ Ld2..-
Expiration Date lo.lD. C\1
J
$ 85.00
$ 15.00
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration ~r Relocation
200 ampg~r less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Sirt::l ~/S:::ician
Owners Name~\ 9\o\\c\Nl.,
Address~~ 0ML\J\ DV\-<sr
Ci tY<.~ fI ui.U\ tt6~fn e ~ DS. S~"3 .
O\lNER INSTALLATION 4: 011
D.
Branch Circuits
,.
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
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 [11') (J)
5% State Surcharge ~ .':0
3% Administrative Fee ":>.\0"
TOTAL I <6...", .l()() .
Owners Signature:
-------------------~-I----------~------
DATE: q /l ]' f.j)
RECEIPT #: H' f ~ " 1 7
RECEIVED BY: ~.f'/ ~.