HomeMy WebLinkAboutPermit Electrical 2001-12-27
Dec-27-01 02:00P
P.02
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PElTh-fIT APPLJCA nON
City Job N~mbcr 0/ -0/ ~Jn-()I
3. COIvIPLETE FEE SCHEDULE BELOW
. .
I. LOCATIO~F~LATIO~) ...
.!!!3:a" .. . :/AI~ ~
A. New Residential-Single or
Multi-Famil}' pcr dwcllin~ unit.
Service Included:
LEGAL DESCRIPTION
-1-7 t'J 3LS 31!:J OO-'~
Hems Cost Sum
JOB DESCRIPTIO~
~rA4,.1f!
1000 sq. fe or less
Each additional 500
sq. ft or portion
thereof
Each Manufd Home or
Modular Dwelling
Service or Feeder
$106.00
Permits arc non-transferable and expire
if work is not staned within 180 days
of issuance or if work is slIspended for
180 days.
$ 19.00
$ 50.00
2. CONTRACTOR INST ALLA nON ONLY
B. SCIl:ices OJ' Feeders
Installation, Alterations or
Reloe.l tion:
Electrical. Contractor~ ~
7 ...
~~. . - .; ..
Phone :3e6.4Xl,..;5'2()()
Supervisor License Number 3S € G; :SLE
Expiration Date. 10/0 I /O-L. ... . ..
. .. .
. . -
Constr Contr. Nllmber~7-f- ...
Expiration Date !2-~:r.;.
200 amps or less
20 I amps to 400 amps.
40 I amps to 600 amps
60 I amps to.1 aoo amps
Over 1000 amps/volts
.:Recoimect Only
$ 63.00
. $ 75.00
$125.00
$163.00
$375.00
$ 50.00
City
fill - -)
Ii'lL
C. ,Teml)Orary Services or Feeders
Install;ltion, Alteration or Relocation
ioo amps or less .
. 20 I amps to 400 amps
Over 40lto 60~ amps
Over 600 amps or WOO v61ts see
"B" above
$50.00
$69.00
$100.00
xSi~;ilJ;"rki,"
D. Branch Circuits
New Alteration orExlensioIl Per Pancl
ownel'SName-WMH~1lN NJIJ/M1-
.. Address_I2bL3~ A~ .
CitJ'I~I/~ Jcil4Phone". 377-~"7
.. "'-IA/ . . . ,
. 'Qf&,it1 :..
. OWNER INSTALLATION
, The installation is being made on
property I o\\'n which is not intended
fot sale, lease or rent
One Circuit.
.$43.00
EachAdditional Circuit or with Service
or Feeder Pennit
$ 3.00
E. Miscellaneous (ServiccJfeeder not included)
-E~chinstaIlation
Pump 'or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
$50.00
$50.00
$25_00
--1- $45.00 ~.. p
Owncrs Signature:
.-
Minimum Electric Permit Inspection Fec i~ $45.00 + SUI'charges
.fi( 1~4,#/.. .
. CIJ..r.~..
. ~r'" . '.
~
45'..
u.r
:r."O
4. SUBTOTAL OF ABOVE
7% State SUI'charge
8% Administrative Fec
e;;/.7r
TOTAL