HomeMy WebLinkAboutPermit Electrical 1997-6-6 (2)
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, ' submitted has the following
The folloWlO9 proJec\ asquir. specllic I.nd uo<>
zoning, and does no ra
: approval. . __ f\f\. elV ELECTRICAL PERMIT APPLICATIOl'
97477 Zoning-\-' , ~~ N ~arl
726-clle6~ . ~_Ct1 City Job' Numbe~'. ""'\ \.AY I
AulhortZedSlgnatur.~ ~urti'L<.LE FEE SCHEDULE BELO\l
~fNo\~~~- A.
\~~F~t)tO '
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
-\-- _ JOB DES~ION (\, (\
19J'{\ Y \.);1-"1) Sl ~ ~){\'l.II)
Permits are non-transferable an~xPire
if work is not started within lSbYdays
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY .B.
Electrical contractor~\f~~ frn
Address~4'1\ !:L \.\). t\\u~~\~
Ci ty \\\ \\s'fu<<), 0\0 Phone!iJb rnr,lL ld6-\-1
Supervisor License.Number :\~~L\~
~(\.\.C\~
Constr Contr. Number ()\\~CJ\\
Expiration Date 4.. \~ .C\~
Expiration Date
Si~. . ervising Electrician
/ V.;~
,"OW """. N'r'l-- ~
Address\ 5) Cl ~~?--.
CitYL~~Phone~~~
1o~1<3
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE~----------- ~ .\0-:0::- \ .' -_.: 5.
~~;:.!n 11;". t\.'\: \At) :.:t\~~\ ')
.New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Cost
Sum
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular. 'Dwelling
Service or Feeder
$ 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 \
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00 4f)
$ 55.00
$ 80.00
see "Bn above
D.
Branch Circuits
.'
New, Alteration or Extension Per Panel.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm.
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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