HomeMy WebLinkAboutPermit Electrical 1997-4-1
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n6'b37-69Signatur. ~M
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
\.
1(l10B DESC~P:rrON -t'
l\Lf\.ll. ('U (I/1JJ )
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for'
180 days.
CONTRACTOR INSTALLATION ONLY '
Contractor
Ci ty
Supervisor
Expiration
Cons tr Con tr.
Superv.ising
ELECTRICAL PERMIT APPLICATION
Ci tv Job Number C\1f)~Q,C1
3. COHPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dvelling
Service or Feeder
,B. Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
201 amps to 400 amps
401 amps to,~OO amps
601 amps to 1000 amps
Ove~ 1000 amps/vo1ts
Reconn,ec t Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Ovners Name 1\M <>l- \~Vl\n \Uay11./!J \ D.
Address ~?D _ P.tili j p.~ It Y1'"&.
City~fo~f}) Phone i4\.[)lS4
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, tease or r,ent.
, Owners Si~~ure'~J..611 ,
,', ' / liLL: ~
"., D;~~~~-~-:-f--~: ra,'l. ~r~t:a"',"
RECEIPT #:, II ' , n..::~ \
" 'RECEIvEDBY: ,C1\tnr) , ,:' ,
I ........,
,.':. .1.
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch 'Circuits
$ 40.00
$ 55.00
$ 80.00
volts see IIBII above
Nev, Alteration or Extension Per Panel
.'
One Circuit
Each Addi tional
Circuit or vith Service
or Feeder Permit
$ 35.00 &0
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5~ ' SUBTOTAL OF ABOVE
,5% State Surcharge,
3% Administrative Fee ,"
TOTAL ," ..,,:' ,'.
not included)
$
$
$
$
, . /Jc::. (j)
(..':)\. J .
40.00
40.00
20.00
36.00
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