HomeMy WebLinkAboutPermit Electrical 2000-5-23
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3. COMPLETE FEE SCHEDULE BELOV
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225 FIFTH' STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2.
Contractor.
/'
Address
City
Supervisor
Expiration
ELECTRICAL PERMIT APPLICATION
Ci ty Job 'Number () CJ~(x)Y-5 /,-0/
New Residential-Single or
Multi-Family per dwelling
Service Included:
. Items
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home. or
Modular Dwelling
Service or Feeder
,B. .Ser~ices or Feeders
Installation, Alterations
or Relocation:
200 amps or less \
201 amps td 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
un i t.
Cost . Sum
$ 85.00
$ 15.00
.$ 40.00
-
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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C. Temporary Services or Feeders
Installation, Alteration or R~location
S'
Date
of Supervising El~ctri~
The installation is being made on
property I6wn whi~h is not intended
for sal~, lease or rent:
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o ...~. Signat,r"" -f),. ' ',: . .'
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-~--~----~------~-----------------
DATE: .'
RECEIPT #:
RECEIVED BY:
200 amps'.'or less $ 40.00
201 amps to 400 amps $55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
,.
$ 35.00
$. 2.00
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Owners Name ~r i-\~kr\r1~h Circuits
. . 01\"1'1 '-D/\.ft I l,j New, Alteration or Extension Per Panel
Addr;;:-5~65 ~1~1~n~~.\aff 1<~'. One Circui t .
city~rh1:' 'e ly . Phone "1'"t7-("l11) Each ~ddi tional .
, ' . Circuit or with Service
, OVNER I TALLATION .' or Feeder Permi t '2.,
Misc~llaneous (Service/feeder not inclUded)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited.Energy/Res,
Limited Energy/Comm
E.
5.
SUBTOTAL. OF ABOVE
7% State Surcharge
3% Administrative Fee
, TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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Provide a certified tloorelevation of 456
The enclo~ed elevation certificate must be completed by a licensed land surveyor,
engineer or architect who is authorized by the State of Oregon to certify elevation
information. The completed certificate must be returned to this office proper to
requesting occupancy approval or the building.