HomeMy WebLinkAboutPermit Electrical 1990-9-24
SPRINGFIELD
,1. 1.0CATION ~LATION An
'oLD lot) " A_ ~ \\
LEGAL DESCRIPTION a
\~D'd.rA\\ OLQ\CJ~
A~ New Residential-Singl~,or
Multi-Family per dwelling. unit.
Service Included:
ELECTRICAL PERMIT APPLICATION
City Job Number q 0 I () ~ '7 ' ~
,COMPLETE FEE S"lU!.uULE BELOV \X~D
~~0 '
~?
225 FIFTH STREET
SPRINGFIEU>, OREGON 97477 '
INSPECTION REQUEST: " 726-3769
OFFICE:. 726-3759
3.
/'
, ,Items
Cost
Suln
, "
.
f\J~B DES.CRIrrION t\ \ L' . '
,-JL~5(\_:t,> ~,rN ~'-^.' \~ ,. ,
Permi ts are nort.1t'ransferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
1500 sq.ft. or less
Each addi~ional 500
sq~ ft or portion,
thereof
Each Manuf'd Home or'
Modular Dwelling n
Serviceor'Feeder' 0
$ 85.00
$ 15.00
$ 35.00~2f)C!
Electrical Contractor,
'B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
'or Relocation:
,
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
Reconnec t Only ,
$ 35.00
$ 60.00
$ 80.00,
$130.00
$300.00
$'35.00
Address'
Supervisor License Number
Ex'piration Date
Constr Contr. Number'
C.' Temporary Services or Feeders
Installation, Alteration or Relocation
Signature of Supervising Electrician
200 amps' or less,
201 amps. to 400 amps'
Over 401 to '600 amps
Over 600 amps 'or,1000 volts
D. Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B"
above
, Expiration Date '
, OllNER INSTALLATION. ,
N\.l7\.'\'" '\\V:-r.' '1' " ' New, Alteration or Extension Per Panel
Name \ \" \. \. -n {\, \-' \ \.An \"\ t.e. .e-. ' ,
.. C2 ,....\ ' .' .. One Circuit'
Address B~6\ 0 tJO. ~l){\\ t (\~\\Q.y Two to ten Circuits
, ' , 'Each Addt'l ten or'
City ~J\QD)'...).~,~~, .Phone ~~lD-~ A ' po~tion 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. Miscellaneous (Service/feeder not included)
-Each instailation '
Pump or irrigation
Sign/Outline Lighting
Owners Signature: Signal ,Circuit or ' , , ' '
,(;M&M ~ {;y (J1~ fJ~ . limited 'energy panel
DAT : .J. \~, 5% State Surcharge
RECEIPT #: ..-1 \ ' ~L\) . " . TOTAL "
RECEIVED BY: '~( f)()_
$ 36 .,00
$ 36.00
$ 36.00
3D.CD
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