HomeMy WebLinkAboutPermit Electrical 2001-12-26
225 t'1t' Itl STREET ELEL .1-dCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 .. \tlll1_inlJll...........,...."'\
INSPECTION REQUEST: T1~B~~~~g prlil}$C . W NumbcrC> 1- '-..) fl-lZ--S-Q J
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OFFICE: 726-3759 approval j;.../} .....
Zonin<.~ '-'"3. COMPLFTF FFB SCHEDULE BELOW
1. L<?CATION: (}F INSTALL4TION ~\'L7~..-'O ( '\
'2 i..{ l.{ u S D~/. ~ . A.cRUJ-cs~dcnt.i;~-Si~glc or . .
AuthOrized Signature . Hlulu-.o:' amIly per dwellIng umt.
LEGAL DESCRIPTION Service Included:
/-70 J <, Lf I ( () z.. '-( () () Items Cost Sum
JOB DESCRIPTION
ee LO C--Ia-'(t:-"--
s!2.liL
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits are non-transferable and expire
ifvvork is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 19,00
$ 50.00
2. CONTRACTOR INST ALLA nON ONLY
B. Services or Feeders
Installation, Alterations or
Relocation:
Electrical' Contractor
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Supervisor License NumberY /
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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
~3
Address
$ 63.00
$ 75,00
$125.00
$163.00
$375.00
$ 50,00
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts see
"B" above
Branch Circuits
New Alteration or Extension Per Panel
One Circuit
CitySpr/~j~t1 PhoneJSfc-877~
". OWNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Each Additional Circuit or with Service
or Feeder Permit
$ 3.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Coll1m '
$50.00
$50.00
$25.00
$45.00
~
Minimum Electric Permit Inspection Fee is 545.00 + Surcharges
TOTAL
b~
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t;,-,oy
I 72 'IS-
4. SUBTOTAL OF ABOVE
.7% State Surcharge
8% Administrative Fee