HomeMy WebLinkAboutPermit Electrical 2-9-21
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE:
1. >>lj~Cr
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Permits are non-trans~erable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
,180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor&\' rtrDL
Address 4m l ~\ J qq (\j :
Ci ty r~ Uj Phone (j4<6s-lo~f-
Supervisor Li~nse Number ~ r; !2F r \
Expiration Date If) ./. q ~
Constr Contr. Number lo5\\ rI\
Expiration Date '~ 0 .2i) .q ( f7
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Signature of Supervising Electrician
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o ~e~~ Name\) ^OlLQ -(\J\o.blJlQQ/ D.
Address cOf)~g ~ ~~ALrd' ,
City 5JD~ Phone3..?;:J1Q1
owJ ~TALLATION ,
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~-:~c;r~~~)----------
RECEIVED BY~ -.J){L ~
uni t.
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
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or 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
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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 I S 36.00 ~
5. SUBTOTAL OF ABOVE 81.0.06
5Z State Surcharge ],RO
TOTAL ,Q,').~()