HomeMy WebLinkAboutPermit Electrical 1991-8-28
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Of 10 t16
City Job Number
3. COMPLETE FEE SCHEDULE BELOll
1. LOCATION OF INSTALLATION
57/}(~ (-~~ DJ'2.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION '
I go '20Z'2-'2-C (R (P 00
Items Cost
Sum
$ 85.00 ;git:~'
JOB DESCRIPTION
, S 'f' ~~\<t~\.~
1000 sq.ft. or less
Each additional 500
sq. ft or portion
. thereof
Each Manuf'd Bome or
Modular Dwelling
Service or Feeder
$ 15.00 i 5p ~,;:.-
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B.
Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor_~'i {>j~..,.;
Address ?<..f J 2- Dlttfl.1'Pr
'Ci tY~IJAL.1 {)ttA Phone ~8R,- z..~'-lq
r- I
Supervisor License Number to 7[3;-5'
Expira tion Date I D - i - 12-
100 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
S 50.00
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number 2v-'-l~ '-(!.,
Expiration Date /'0 -- j'- q I
.
$ 40.00
$ 55.00
$ 80.00
volts see "B"
200 amps or less ,
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Signature of Supervising Electr~cian
D~.r~
above
D.Branch Circuits
Owners Name
New, Alteration or Extension Per Panel
Address
,
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
City
Phone '
OVNER INSTALLATION
$ ,2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder no't inctuded)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Ovners Signature:
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
JlJ 0 , 00 '
5,00
J 05. O()
$5- "l.8-Gll
2- \ I 4~
-J)ol C yl.d--
DATE: '
RECEIPT t:
RECEIVED BY: