HomeMy WebLinkAboutPermit Electrical 1995-10-17
. . 'bmltted has the io\\O
. 1he.ionOwmgdProJae\~~qS~ire specific land use
zarling; and oas no
approval. G Df2-'
Zonina ..-
'. /' ELECTRICAL PERMIT APPLICATION
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726-:i?~rtZeds\gnaturecN,^^ r~ <::- !;)b Number q 5 1 .:l:2 q
3. COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759' .
1.
LOCATION OF INSTALLATION
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JOB DESCRIPTION. -I
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Permits care non-tr~sferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. .
A. New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Cost Sum
$ 85.00
$ 15.00.
.
$ 40.00
Items
1000 sq.ft. or less
Each additional 500
sq.ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Ser~ice or Feeder.
2. CONTRACTOR INSTALLATION ONLY .B.. Services or Feeders
Installation, Alteration~
Electrical Contract()rTei"'t'Ct ~l~~ CUlflst( o.i Relocation: ...
. . . . .
Address {-50. LhelJ)f~c... .e J /IF
City_1:f2~"Z.e.(' dt Phone~-393-;;Z'15{
I
Supervisor License Number 33 a ~ S
Expiration Da.te
Constr Contro Number ;:J 4 -fCJro_C
Expiration Date
(jJ:e o~.
D.
Owners Name .. .elJtla ~rpl
Address .p.!)~ p.,~')( 5f<>'CCJ
I 't.-+~
Ci,ty 5u l~ r Let b. c:.:t_Phon.e q"(:) r,.; t:).2 ~ - ~8DCJ
OVNER INSTALLATION
The ins talla t ion js being made on .
property I own which is riot. intended
.for sale, ,leas~..or r~n.t.
.' -.t~
Ovners Signature:
D~~E~------~----[)~\~~~-----~-----
RECEIPT 11:: \ o. ,. /\;~ ?5t-.
RECEIVED BY: H\l J'Y'\J
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 50 oC>
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
c. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT' 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
,.
New, Alteration or Extension Per Panel
~
/cf)
$ 2.00 &
~$ 35.00
Each Additional ."
Circuit or with serViCe}
or Feeder Permi t .
One Circuit
E.
Miscellaneo~s (Service/feede~notincluded)
-Each installation
Pump or irrigation $ 40.00
Sig?IOutline L~:::~ $ 40.00
L:-m:- ted Energy/Res ..!\ $ 20.00
L1ml ted En€"rgy _/) $ 36.00 ~L ()~
SUBTOTAL OF ABOVE. Fj~ pO ~ LP .
5% State Surcharge. .~( )
3% Administrative Fee' . l~,
TOTAL q!L Ot
5.