HomeMy WebLinkAboutPermit Electrical 1993-9-13
RJ. If- q) 07Q b
.e
SPRINGt=IELD
.. d n;;>st.t:' ,...." ..
. .J. e'" subm!Us. ,.d use
'I ']nanro1p.\.\ ,;) . ",,,!",,, ,,'- ,......
1\;<:'~""''''''' . .> ,I"~';\r,', ".
zcnh.:
225 FIPTH STREET app,e',". ( c...- ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 rAn"'" _. - \
INSPECTION REQUEST: 726-3769 vL-!3A3 City Job Number q"2., o7Cfb
OFFICE: 726-3759 Date_ - ./,.v-- . -
, . ., ' d Signa\Uro~~. -.:...,'.l...."rE FEE SCHEDULE BELOW
1. LOCATION OF INSTALLATION,onze
$JJo G...Ie--.. l"'j)
/
LEGAL DESCRIPTION '>,
n (')'2...;;;l.J.:l.() CP::>SOu
JOB DESCRIPTION
p.cl.h~ -
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
Electrical Contractor ()~ t1e;~~
Address 1- '1C6 <) r w 0<?..41o.._ .'vl
City Fr/M.I:Il.lA- Phone C(3S 7bC;C:::
Supervisor License Number '3 '-16:5 .::;
Expiration Date I ()-15
Constr Contr. Number 0360
Expiration Date
9;- ql-(
Signa~e~~~Sing Electrician
.. Owners Name '1-n()~ ~~ (I, I_J '
Address_ 3,n"2..() t1~A.dr..Lo~ ~
City 0.rYlrJ Phone fen <)Li)~
OI/NER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~-----~i/7~~-~;-------------------
RECEIPT I: . I () ::)";2, <;'
RECEIVED BY: lUB
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
It ems
Cost
Sum
1000 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
$ 40.00
B.
Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less ~
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00 50.W
$ 60.00
$100.00
$130.00
$300,00
$ 40.00
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
$ 40.00
$ 55.00
$ 80.00
see "D"
above
D.
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2.00 :36,Ob
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
tt:6. (Jc)
Lf..'1,()
g (j _ ':J, (')
~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL