HomeMy WebLinkAboutPermit Electrical 1992-10-30
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PERMIT APPLICATION
225 FIFTO STREET llif),foHowing proj9ci as su.~mitted.~as th,~V.f!E'cfilICAL
97477 zoning, ;;-.nd does not requlle speclilc lanJ Uot:'
SPRINGFIELD, OREGON I
INSPECTION REQUEST: 726-3'7~/ra~, l"1)e City Job Number 921<1'2-)
OFFICE: 726-3759 Zonmg .
Data \ tJ -1d- 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION or; Gtl ~i nntl;c .<:::(' ___ __"._, .
5t;.('~ ~/_~~ ~ ~Dg ..........'A-=--New lteslaentlal-Slngle or
I Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/7n2 33 44 ~(b
.
Items
Cost
Sum
JOB DESCRIPTION
EAXiMf. (:.,/1, JZm<.. ~ ~e
.
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
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
$ 40.00
City
Phone
. B. Services or Feeders
Installation, Alterations or
Relocation:
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
Electrical Contractor
Address
Supervisor License Number
Expiration Date
, ,
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Signature of Supervising Electrician
, 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
Expiration Date
Owners Name LEe .kI~W.&'~
D. Branch Circuits
Address S"~~/)
Ci ty V~
,~ ~ S-a
, Phone -p4-- - '7'71..1
New, Alteration or Extension Per Panel
OVNER INSTALLATION
One Circuit '--'
Each Additional
Circuit or with Service
or Feeder Permit --1
$ 35.00 3Stto
.....-
$ 2. 00 '2. CD
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
ovne~Signature: ()
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RECEIPT #: r IJ _. (Q \() ',~
RECEIVED~YCl..!\o._ -
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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