HomeMy WebLinkAboutPermit Electrical 2000-5-25
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225 r.a.rUl ,).......... '!P.. ~ft,g. a lv/~gf), . ELECl'RICAL PERKIT APPLI, CATION
SPRINGFIELD, OREGON 974ifro"al ~a ao.",j.Clas ~).r.:J \
INSPECUON REQUEST: ~6-37~ ~Ol r.;~1""/f.a City Job Numberffi. /")( i.::f't"rY{)
OFFICE: 726-3759 a,. ~/~g r. spec~aslt,."
"'illt, 3. fie ..ii(tl&,.."..." FEE SCHEDULE BELOV
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1. LOCATION OF INSTALLA'H'Ultg/l
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JOB DE~CRIPTION -
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Permits are non-transferable ad; expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
w Residential-Sing~e or
Mul Family per dwelling uni t.
Se ce Included:
Items Cost Sum
1000 sq.ft. or less \ $ 85,00 '1&DD
Each additional 500
sq. ft or portion 3 ljS,(J't)
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or "Feeder $ 40.00
2, CONTRACTOR INSTALLATION ONLY B. Services or Feeders
)jdE OJ} . d Installation, Alterations or
Electrical Contractor T. r'~e;(N.LML Relocation: '
Address fD.Box I (P80
City1}( ha J11k.57~l! 'Slf (-'1(07- '61027
Supervisor Liceflse Number ';) q '6 5
I()- I-IJ()
Constr Contr. Number ,;;( C( '2 (5C!..
10-/- 6[)
Expiration Date
Expiration Date
Signature of Supervising Electrician
X ~~ ~~
Owners NameJ;r.O () .'-{ 1Al~
Address ~(~ ~~.' '
Ci t~l (Qu ~ Phone.. ~ \ l\{) .
4-310
OWER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
IjOO~Tignature:
: 39Nl'iH::1
OO':;:t: $ ::!IDJ:J 11:1: .
. ~~~~~~~~~------------~-------------
RECEIVED BY:
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 or 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 Addi tional
Circuit or with Service
or Feeder Permit'
$ 35,00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. ~UBTOTAL OF ABOVE
7\% State Surcharge ,
TOTAL 3'" C?~ Fl.;
'Tu-taJ!
$ 40.00
$ 40.00
$ 20.00
$ 36.00
/30.0-1;
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