HomeMy WebLinkAboutPermit Electrical 1997-4-23
The following project as su.bmitt6d~a~ tho f~!~owing
zcning, and does not reqUire SpecHIC .and u",,,
225 FIFTH STREET approval. I 1'Q ELECTRICAL PERMIT AP,_ )LICATIOiftN
SPRINGFIELD, OREGON 9747~. L \ >\ \ ( t\1'\A\
INSPECTION REQUEST: 72~;!!<2.. I/Ah - Ci ty Job Number '-1' \~ 1'\
OFFICE: 726-3759 D!\t'il I )/"{', g NAil
I fit/L! 3. COMPLETE FEE SCHEDULE BELOV
1. ~~IJON ~lk~~~fro~~t~e. ,,-~ A.
:)~ V~~~, ~ New Residential-Single or
Multi-Family per dwelling unit.
\-U)1:~~~ION ()"l-'6DO Service Included: Items Cost
~ JOB ~O~ruN(\f{' a-- 2.-11j1
;:r~~are non-transferable and expire
if ~~ is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Sum
$ 85.00
~5
46
()
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~~ ~~~
,
Address~qV~ D~Lt'V./e.
Ci ty EU9(!V/e Phone..6.,f~...tJ~
Supervisor License Number ~~~~~
Expiration Date /6// /'q,p
B. Services or Feeders,
Installation, Alterations
or Relocation:
~y
200 amps or less $ 50.00
201 amps to 400 amps $60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
/' ,
Constr Contr. Number~~~_~~
Expiration Date, 9/gc; /qp
" /
Signatur~~~~trician
OYnmName \1);\\ ~J~
Address \3~ S [f) l Q l*V\
City~~ _ Phone]44. U
~ ~-~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------'-r----------------------------
DATE: V{/~3 ~ 7
RECEIPT 1t: 'Z ~ '1 'f-(.'
RECEIVED BY: !~
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less L--'
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00 -1o,ao
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
not included)
$
$
$
$
/'70.60
. ~SV
,C): I 0
I t!L 2 .~O
tV../"
40.00
40.00
20.00
36.00