HomeMy WebLinkAboutPermit Electrical 1993-6-28
225 FIFTH STREET
SPRINGFIELD, OHEGON 97/.Tl
INSPECTION REOUl~ST: 726-3769
OFFICE: 71.6-3759
City Job Number
q3() "=S7
3. COMPLETE FEE ScnEDULE DELOY
1. LOCATION OF INSTALLATION
~/L6'1 ~~
LEGAL DESCRIPTION
LJ () ':J ~~ OO~ lc",
~OD DESCRI~rION
I~p. Uc,
Pcrmits are non-transferable and expire
if \lork is no t started within 180 days
of issuance or if \lork is suspended for
180 days.
2. CON'l'R/iCTOR INSTALLATION ONLY
Electrical contracto~~ 4..d-
Addl:css p.?>.. /CJ 6 7
e,..-
CI ty ( ~p ~ Phone
/"
Supervisor License N~mber
Ne\l Residential-Single or
Hulti-Family per d\lelling unit.
Service Included:
A.
Items Cos t
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular D\lelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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. cr.:~rncarv Servic~ or Feeders
Installation, Alteration or Relocation
72 C-93CJ
J
"2t 7S;
Expiration Date /0 ~/ /"J---'
- / -I' r
Constr Contr. Number :?C> -/72.......5:::
/~~ /-/9-~
/ /.
. ~ crvis~
:L Na e.. ~0d21~~U ~
Address :lA.()~~ ~.~
9 - - .~- C . - -::::2.... One Ci,rcui t
Ci ty _t ~~ Phonc-z' \. )-1Y""'O ) Ea~h A~di tion~l .
~ \ CIrCUIt or \11th ServIce
mINER INS'I LUTION or Feeder Permi t
Expiration Date
i
,!
j
,
I
I
,
I
!
,j
J
1
i
I
The installation is being made on
property I O\ln \lhieh is not intended
(or sale, lease or rent.
Ovnc('s Signature:
~~~~~--~-~--------[c?~~~C1[~------
~~Z:~~~~D~~~~~j:_~
200 amps
201 amps
Over 401
Over 600
or less
to /.00 amps
to 600 amps
amps or 1000
D.
Branch Circuits
I
40.00 40DtJ
55.00
80.00
$
$
$
see "0"
above
volts
Ne\l, Alteration or Extension Per Panel
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Com~ S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
LfodP
:;)./11/
/-.J 'J... iJv