HomeMy WebLinkAboutPermit Electrical 2000-7-31
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
ELECTRICAL PERKIT.APPLICATION
. .
- '
City Job Number {}(J-O//7-C3-0/
3.. COMPLETE FEE SCHEDULE BELOY
LEGAL DESCRIPTION
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}OB DESCRIPTION
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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 INSTALLATION ONLY
City
~
/
~ne
Supervisor
Expiration
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Ser~ice or Feeder
B. Services or Feeders
Installation, Alterations
or Relo~ation: .'
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
. Items. Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
~
~
Signature of Supervising Electrician
Owners Name ~T~ C;:M,.~<T14
Address 7,,(p('6 N ?;,r.J. 'S.T.
Ci ty S pf-D
Phone I +1-w4-l-
OVNER INSTALLATION
200 amps"oT 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
D.
Branch Circuits
New, Alteration or Extension Per Panel
,.
One Circuit / $ 35.00 3r
Each Additional
Circuit or with serv~ /'l>
or Feeder Permit $ 2.00
5.
SUBTOTAL OF ABOVE
7% State Surcharge.
3% AdministratIve F~e
TOTAL
not included)
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
The installation is being made on
property I own whi~h is not intended
for sale, leftse or rent.
Owners S, igna turcB r-:7
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-----------~~-------,----~----------~
DATE: . V .
RECEIPT #:
RECEIVED BY:
$
$
$
$
~
4TJT
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40.00
40.00
20.00
36.00
.tpl. (jO
g $'7
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