HomeMy WebLinkAboutPermit Electrical 8-7-1
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225 FIFrH STREET '. - -- '(\ t ~~ \~ ~~CAL PERMIT APPLICATION
SPRINGFIELD OREGON 9741-1thom:ed Slg~€:ure_\ I Y) 9'\, & . '~ () Q'
INSPECTION REQUEST: 726-376~~\C ~\ CO~~~ ~\~\CO~ O~r$i\9, Job Numb:r V'{ ~ 0 b O;L
OFFICE: 726-3759 ~v ~~~ \:)~\) o.~~\) ,
- ' \~\CO ~(L.c:c.\) ~'O ~'cOMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION ~\~O X;.\) 0 ~.
I (j h7~ T sf:::. ~ 0-t.~c:c.~G ':'{,?i.~O New Residential-Single o~
..' II ,I \~<:) Q~' . Mult~-Family per dwelling uni t.
ILEG~D~ON -0") 7 ....!I.~ . . SerVlce Included: " .
I 7 02> J y..; oL ~ '--~ UU, Items Cost Sum
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contracto~,l(,s 2:1.(;;-,
~
, Address] r 70 tV (5T / I ~
City
Phone
Supervisor License Number 9 tftJ S
Expiration Date / 0 ~ 9 c; -
Co~str Co~tr"'Number ;j. /1 S' I
Expiratio~ Date lj- ~ f ,.. 9CJ
&3::7J 7[Jiictrician - D.
Owners Name IV! c. t F II /2/ F Il Nt:J;...14ef, i'o.....
Address / Lj ~ ?, ---r- s..:t
Ci tyS(?r;^!(l F/Fld
1 I
OVNER INSTALLATION
Phone 7t17 XC/)(
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovner~~~gnature:
~,
DATE;----=;JfIJfCf'~------
, RECEIPT #: · . 8 D-Sf5J(p I )
RECEIVED BY: 't\.}1,.O__
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
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
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
,.
t
Per Panel
3<.00
$ 35.00 ~
$ 2.00 )".00
New, Alteration or Extension
One Circuit
Each Additional
Circuit or with Servic~
or Feeder Permit
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 $ 36.00
5. SUBTOTAL OF ABOVE .-J J' DO
5% State Surcharge J ' ~" '
3% Administrative Fee ,)-.1 J
TOTAL ~'-1 . '1({J