HomeMy WebLinkAboutPermit Electrical 1990-11-6
r
.
J::t..
SpAFIELD
225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. , ~rtr O~fh~~T~
ELECTRICAL pEilKIT APPLICATION
Ci ty Job Number' q 0 I :~O g
3. COHPLETE ,FEE SCHEDULE BELOIl
LEGAL DESCRIPTION
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
..jQB DESpuPT;tON C' \' 0^ r...
,\ 0 V. Q)"T- c)1JY ,) ,'\ . 1(jJj.)
Permits are non~ansferable and eXPi~e
if work is not started within 180 days
of issuance or if work is, suspended for
180 days.
2. CONTRACTOR INSTALLATI!)N ONLY
Electrical contr~ctor~)hQO ~
, Address7"'J 703 D.", Sc~ ~t'rl:J
City~.,.At:.l!' (OlUlo.&.Phone '7'f'Z--1(.,7L
Supervisor License Number -z... 7 of(' s:
Expiration Da'te
/00-,"/
1500 sq.ft. or less
Each additional 500
sq: ft or, portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service 'or Feeder
B.
Items
\
\
Cost
Sum
~5
\s
$ 85.00
$ 15.00
$ 35.00
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
Reconnect Only
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
Constr Contr. Number 7;=-/'7"" ~
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
/o-e:;/
S~ure of Su~eriSlng Elictrician
~~.~.
Owners Name
Address
City'
Phone
01lNER INSTALLATION'
The installation is being made on
property ,I own which is not intended
for sale, lease or rent.
Owners Signature:
~~;~~-- I T:2-;=QC) _
RECEIPT.: ' ~v<('
RECEIVED,BY:~~~
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
New, ~lteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation '
Pump or 'irrigation
Sign/Outline Lighting
Signal Circuit or -----
limited energy panel
One Ci rcuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
,
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$50.00
$ 15.00
not included)
$ 36.00
$ 36.00 '
'$ 36.00
l({).()O
F-;.I)U
I 1")<-)tYJ