HomeMy WebLinkAboutPermit Electrical 1997-3-6
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225 FIFTII STREET I r1A 4J
SPRINGFIELD, OREGON 97477 ZOi"1ing~~_
INSPECTION REQUEST: n9n37692.Jt=;/'7~'
OFFICE: 726-3759 --~ .
f!\uti"lOrL!ed Signat ,13 JJ~. 'COMPLETE FEE SCHEDULE BELOY
1. -trA~N( "-~LATION
LEGAL DES~PTION ct.,,""
\, NL~~,' ~ Q':)"",.r /.--
MJ"OB DESClU-.tiJON .
V 1 \ltf\UA_ \..,g)f\AL
Permits a~non-transferable and expire
if work is not started 'within 180 days
of issuance or if. work is suspenoed for
180 days.
2..- CONTRACTOR INSTAL~TION ONLY B.
Elec t ri tal Con t rae ti<r 1\ QX\ \~~\lJ
Address\\)\0.. \\rN\'\ ~i\\~
Ci ty f" Qif r\Q..... PhonelLq. \w
Supervisor ~cense~~O:? C\L\~
\D. \.C1~
Expiration Date
Constr Contr. Number \ (2)\~
Vd-. afJ.\ crJ.
Expiration Date
Signature of Supervising Electrician
~~
Owners Name ~(\DM' \~tnm
Address ~t)2..t\ ~ ~_~trl
Ci ty ~ ~ Phone 12..\oJJl L
O~~ ~STALLATION -
The installation is being made on
property I own which is not intended
for sale, lease or rent.
~
Owners Signature:
-------------~-----------------------~
DATE: -:?,-.,;-e? 7 . ... .
RECEIPT 11: i.~j..., Z, ~L\-l y,O
RECEIVED BY: ~_
ELECTRICAL PERMIT APPLICATION
City Job Number QlfY)l)5
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
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
~. $ 40.009[)
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 volts
$ 40.00.
$ 55. OCT ,-
$ 80.00
see "B" above
D.
i3ranch Circuits
New,'Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E_
Miscellaneous (Service/feeder
-Each installation
Pump or. irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
no t included)
5_
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
-eJ& ~~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL