HomeMy WebLinkAboutPermit Electrical 1990-10-2
.
I~"
SPR_FIELD
225 FIFTH STREET
,SPRINGFIELD, OREGON 97477
INSPEcrION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERHrr APPLICATION '
City Job Number cJf()~()~l1
1., ~5' ahST4:m~JG
\~()~~~~~ O(o30()
,
ctt!;t)S ~eJ );' (1 Q
3.
COHPLETE PEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cos t
Sum
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is, suspen~ed for
180 days.
2. CONTRACTOR INSTALLATI9N ONLY
-
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof ' $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 35.00
Electrical Contractor
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
Address
City
Phone
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
. ,
UJ(' )
.
Supervisor License Number
Expiration Da'te
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
200 amps or less
201 amps to 400 amps
Over 401 to'600 amps
Over 600 amps or'1000 volts
Branch Circuits'
$ 35.00
$ 40.00
$ 80.00
see "B" above
Signature of Supervising Electrician
Owners Nam~W'0 ~ r )
Addressl$tO \ \)(')4211 ,
City $pflrL Phone~ 1-1ll4
OVNER INSTALLATION
D.
New, ~lteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$,50.00
$ 15.00
The installation is being made on
property ,I own which is not intended
for sale, lease or rent.
E.
Misc~llaneous (Service/feed~r not included)
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
'$ 36.00
$ 36.00
Owners Signature: ,
\J.J Yh.Jl2ZrX 1i3Y;~r -
/~------':'-r~I-- '- /~ '7',--------
DATE: .\~^~T f .~ )
RECEIPT I: fLJ 8
RECEIVED BY: 1"-711[,
5.
SUBTOTAL OF" ABOVE
5% State Surcharge
TOTAL
$ 36.00
( 00. c)c)
,~, ()()
lo3.0r) ,
- ,-