HomeMy WebLinkAboutPermit Electrical 2001-3-9
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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Permits are' ~trans~rable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLYB.
Elec trical Con trac tor&f,'Shel' €Je.t.:I:"e.
Address / R () K.. Yl a., h u f' v J!) OP.
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City p...~P- Phone ~~q-?9'lj
Supervisor License Number ~~~- S
Expiration Date /(J -0/- 6/
Constr Contr. Number <J~ 1J 71)'
Expiration Date_ /-c:2.5~- 02--
Signa --1J:ifJfRv~::ttrician
Owner~ Name~I\O .'~\~,f}
Addresli ~ \4L2..C;
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Ci ty f l ')()l?ruz. Phon;-M..1l.a!a::L
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OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Owners Signature:
------------~---- ~
DATE: c ) -/)-(0 (
RECElrt ll:
RECEIVED BY:
~
/1{ /, 77A--? .
ELECTRICAL PERMIT APPLICATION
City Job Number~
3.
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling
Service Included: .
Items
1000 sq.ft. or less
Each additional 500
sq. ft or ,portion
thereof
Each Hanuf'd Home. or
Modular'Dvelling
Service or Feeder
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
C.
unit.
Cost
Sum
I
$ 85.00
85...
4-
$ 15.00
loD
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or Relocation
D.
200 ampS"OT less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
I $ 40.00 "3Q..
$ 55.00
$ 80.00
VOlts see "B" aDove
".."
., ,.
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Bach installation
Pump or irrigation
Sign/Outline LightinR
Limited .Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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