HomeMy WebLinkAboutPermit Electrical 1997-5-15 (2)
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SPRINGFiELD
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Zonir,., LD,'2-
225 FIFTH STREET D_-:~/!Lt- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 0'-1 7
INSPECTION REQUEST~Ulh"i2'6-!.S71l~ure f\l~H.. Ci ty Job Number . - ( 10 f.t I
OFFICE: 726-3759
1. LOCATt~~\~ INSTkLLATION
:1.'335' ~ \\1'-\ I ~1),IY\' .
LEG*1 DESCRIPTIO(N _ T\" 'D ()
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JOB DESCRIPTION . .
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Signature of Supervising Electrician
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Owners Name ~ t~" I ~.l!\ , Q1~ '.
Address ~'335 ~,~'
Cit.y~~hiLL Phone 11-/'1-:5040
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~----<;'1I~tZ7~~---------------
RECEIPT II:.' 02.........-/~
RECEIVED BY: ~. t ~
----, .
3. COMPLETE FEE SCHEDULE BELOV
A: New Residential-Single or
Mult i-Family per dwelling un i t.
Service Included:
Items Cost Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder $ 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
201 amps to. 400 amps
Over 401 to 600 amps
Over 600.amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see IIB'I above
D.
Branch Circui ts
"
New, Alteration or Extension Per Panel
One Circuit
.Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00 3:').00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigatiori $ 40.00
Sign/Outline Lighting. $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
."i5.0C
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1.05
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