HomeMy WebLinkAboutPermit Electrical 1991-3-20
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ELECTRICAL PERMIT APPLICATION
, City Job NumberilLl2llo3
3. COMPLETE FEE SCHEDULE BELOV '
225 FIFTH .>uu."'.
SPRINGFmLD, OREGON 97477
,INSPECTION REQUEST: ,726-3769
OFfiCE: ' '726-3759
1. ~TI..QNOF ~STALLATION .-Il'
, hCJ A I lln f'Gf.::f!\(~.....
A. New Residential-Single or
, Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
Items
Slim
Cost
1500 sq;ft. or less ~ $ 85.00 2&.-
Each additional 500
sq. ft or, portion 30.-
thereof 2 $ 15.00,
Each Manuf'd 1I0me or
Modular Dwelling,
Service or Feeder $ 35.00,
PTION1 riuJJtbQ ..)
Permits a e non-transferable and expire
if work s not started within 180 days
of issuance or if work 1s suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~ '
Address f)qf}fl ~ D V.... C:;(I'J111j~
City ~ ~7~Ph~neG42.: ,<'=)1977-
, Supervisor License Number cl)f)()RS
ID,lLjEJ
'Constr Contr. Number .:3 X X 5 Co
c9 { nJ q '2-/
.
B. Services or Feeders (10 Branch'Circuits
included). Installation, Alterations
or Relocation:
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
$ 9,0.00
$130.00
$300.00
$ 35.00
, , Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less JJJ:L $ 35.00 C21
201 amps to 400 amps $ 40.00
Over 401 to 600 amps' $ 80.00
Over 600 amps or 1000 volts see liB" above
Expiration Date
Si~~::>'Of Superv1sing,Electric1an
, ~', ~ ~()~~.J) "
, . L u'L)
Owners Na~~~ Tll )) ~ J)
Mdr~ss,b)qq3' ~S
City ,gOqe/LLPho~e_4K5 -,~'-10 '
,OVNER IJJ.r~TION , ' '
D. Branch Circuits
New, Alteration 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"
Owners Signature:'
E~ Miscellaneous (Service/feeder not included)'
-Each installation
Pump or irrigation'
Sign/Outline Lighting
, Signal Circuit or
limited,energy panel
$ 36.00
$ 36.00
$ 36.00,'
J J 5".'Jt~
~.?S-
/a.O.7S
.
~
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
DATE: ,~.!:)(). ~I
, RECEIPT I: ~ ' H47::L
RECEIVED BY: / )C--Ll ' . I
"