HomeMy WebLinkAboutPermit Electrical 1997-12-8 (2)
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DateJL1: -07 _
225 FIFTH STREET Authorized SIOnatu h
SPRINGFIELD, OREGON 97477 re_ yv\
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ~~N ~~~@J . A.
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if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
Gi ty Job Number ex 1 \ to '61.-
3;
COMPLETE FEE SCHEDULE BELOII
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 <65
Each additional 500
sq. ft or portion 2.- .aQ
thereof $ 15.00
Each Manuf'd Home. or
Modular. 'Dvelling'
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY ~ .B. Services or Feeders
--z> '1(' c I Installation, Alterations
Electrical Contractor\l, S ~f~~ ~~ or Relocation:
;) ~ "',6 .~
Address.".; r 70 (A.;' 5T / /'n~ ~;' 200 amps or less $ 50.00
-l1,. ~ -'>}...... ~)< 201 amps to 400 amps $ 60.00
City Phone 1: J1/.. '<')) <lJ<... 401 amps to 600 amps $100.00
a d~. ~ ~.....v 601 amps to' 1000 amps $130.00
Supervisor License Number IdL?1~O~ ~~ ~ver 1000 amps/volts $300.00
, ~~ .~ -r,), ~connect Only $ 40.00
Expiration Date /0 - 99 - ~t") -1~~ ~
~ ~ 1&m~ry Services or Feeders .
Constr Contr. Number .;2 /1 S' I ~~Ja\t~tion, Alteration or Relocation
Expiration Date (j-;}- f ""1~ ~(jQ.'lr~~loT less $ 40.00
2019am~ to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Cit
2/1
Phone 141.'[101
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovner~~ignature:
-,
---------------~-- --
DATE: loL.." ''1.~ J
RECEIPT I: ,.-J. '
RECEIVED BY: ~I bib. ~
~
,
D. Branch Circuits
"
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or' Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Serviceifeeder not included)
-Each installation '
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited, Energy/Comm $ 36,00
\b<P
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-:z, .'1""')
JL<J, . UL
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL