HomeMy WebLinkAboutPermit Electrical 1991-6-21
225 U~ u. STREET
'SPRINGFIELD, OREGON 97477
. INSPECrION REQUEST: 726-3769
OFFICE: .726-3759
Sf.nINGFIELD
I
ELECTRICAL PERMIT APPLICATION 1\
Ci ty Job Number' q \ DIdt
3.
COMPLETE FEE SCUEDULE BELOV
1. LOCATION OF INSTALLATION.
/ q /1 0 < OIJ11/- JI A. New Residential-Single or
. ... Multi-Family per dwelling unit.
. IAA LEGAL DESCRIPTION .' ()~'21 J\f'\ L17~llerVice Included:
rv!'e'Cfrl>iJ ReSfT'{fi/J.1-'r 1"1 10J\O"tr-ooJ,O, f..(J. Items Cost Sum
JOB DESCRIPTION
T~II:"t:{ A/I'~ ("t(Li
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. CONTRACfOR INSTALLATION ONLY
Expiration DateJAI./ /yt1"L
#Z~;77L;i"M
. Owners Name.
Address'
City Phone
OVNER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: 10 -2--[ -CfJ
RECEIPT ,: 2-f.)LJ L/L/
RECEIVED BY:IlM...M.<;J
, \
--'---
1500 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
$ 35.00
B. Services or Feeders (10 Branch Circuits
'included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
_..
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
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
D.
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
Each Addt'l ten or
portion thereof
.I&L-
E~ Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting v
. Signal Circui t or
limited energy panel,
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
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