HomeMy WebLinkAboutPermit Electrical 1991-5-30
225 FIITH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number "7'/~/LZL9
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
?:26 WL?~A"/Y/~L.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
J/~i!!'/ 3- Z ?-~9 / ~s--I~
- - r
Items Cost
Sum
, JOB DESCRIPTION
~~/! 5~r.~,,/Y7~~
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
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
$ 15.00
$ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
B.
Electrical contracto~~~~~
Address ~2C> Wc-~/ /~7:At}:~.
100 amps or less
101 amps to 400 amps I
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00 ~6-~
$ 90.00
$130.00
$300.00
$ 35.00
Ci ty G't:.T4c~ ,Phone
Supervisor License Number '3 if2~ 5-
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number t-/7f'/,5'
Expiration Date (.2 /~""7,/
~~trician
Owners Name '
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
Address
One Circuit
,Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
City Phone
OWER INSTALLATION
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
$ 36.00
$ 36.00
$
Owners Signature:
36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
~.... 0$<:::>
"3'-' .-"
0~~Z>
..........
DATE: ;) ... 36-7/' ,
RECEIPT ,: ~C::>:;?'~E3.
RECEIVED BY: ~~ r~4-'">