HomeMy WebLinkAboutPermit Electrical 1993-9-17
.
SPR~~O
zoning, ...r:j ~ica$ not require speciiic land
apprcvs.l.
~::~ ~~~~::n:;~nd expire
if work is not started within 180 days
of issuance or if work is suspended' for
180 days.
2." CONTRACfOR INSTALLATION ONLY
Electrical ContractorJY)tJ~I~ ~~~(r
Address 353 S G.5/1..
City SfJ
Phone 7'4 -.( -t (.. r-
Supervisor License Number 3 ~"''7 5
Expiration Date
{04'1
Constr Contr. Number '69'(2.3.
Expiration Date
<.-5""-4'1
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
"
DATE~--~-~I~-~q~""""---7-""""-""-""""""-""""""""""""
RECEIPT I: . in?lvi
RECEIvED BY: r~
MI'rV
ELECTRICAL PERMIT APPLICATION
O(3DPPf7
1000 sq,ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd lIome or
Modular Dwelling
Service or Feeder
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
Items
Cost
Sum
1700D
225 FIFTD STREET Zenina
SpRINGFIELD, OREGON 97477 D' LjrI1A'0
INSPECfION REQUEST: 726....3769 ... Ci ty Job Number
OFFICE: '726-3759 Authorized Si~nature ~
3,' COMPLETE FEE SCHEDULE BELOV
1; ~TION OF ~.STALLAT^qN .Ii ~
n, 11/')~1'T1~ ,~. ~~\C'\.fnO A. New Residential....Single or
. - . Hulti....Family per dwelling uni t.
\ ~~~If~&=\cO Service Included:
7_
'l.
$ 85.00
$ 15.00 1!f). 00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
Signature Of~ Sper ising Electrician
&)~. I
.. .>.d D Branch Ci rcuits
Owners Name_\" \,,\,\Q.t\ ( . ~r-U))ld1..- .
Address r I r; ~ ~.Q...~ 1 ~b
City y~ YW flsL. Phone ,~43 .Sli\zZCl~~~~~onal
(\ Circuit or with Service
OVNER INSTALLATION or Feeder Permit
volts
$ 40.00
$ 55.00
$ 80.00
see liD" above
New, Alteration or Extension Per Panel
$ 35.00
$
2.00
E. Miscellaneous (Service/feeder not included)
....Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
2..co.oo
(0.00
/_lO .Ou