HomeMy WebLinkAboutPermit Electrical 1994-12-15
-'.
SPRIN.LO
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPEctION REQUEST: 726-3769
OFFICB: 726-3759
')
\~~0t1~c\fD
~es~~I~~I!~ ~
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
!
2. CONTRAC!OR INSTALLATION ONLY
,
Electrical Contractor mxnN r:lr:rTRTr
Address 1130 8AILEY HILL RD #24
City FIJGFNF Phone 344-53q5
Supervisor License Number 36145
Expiration Date 10/1/95 ..
--
Constr Contr. Number ':,..:.-
fifiRq4
Expiration Date ~/?3/q~
, Sign~tpe of supe:vising Electrician~
~~ D
Ovners Nltlne ~~ffi_ ~ .
Address\ \).\).~ ~o.~
Ci ty f,~ _, -Phone \.0<&0' \\\ ~
OIINER IN~ALLATION
The, installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
RECEIh, ,:
RECEIVED BY:
/:Z~7'9Y
/~.-:~ it- _
'7
ELECTRICAL PERMIT APPLICATION
'Ci ty Job Number C\4 \441
3.
COMPLETE FEE SCHEDULE BELOV
A. Nev Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items
1000 sq.ft. or less ---L-
Each additional 500
sq. ft or portion ~
thereof , \
'Each Hanuf'd Home or
Modular Dvelling
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
Cost Sum
$ 85.00 BS
$ 15.00 wD
$ 40.00
$ 50.00
$ 60.00
$100.00
'$130.00
$300.00
$ 40.00
C.
Temporary Services or'Feeders
Installation, Alteration or Relocation
10
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
I $ 40.00
$ 55.00
$ 80.00
volts see "B"
Branch Circuits
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline LightinV $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
SUBTOTAL OF ABOVE ~."'(lt&>
5% State Surcharge '!"J'+ !:Tr /4.,H
TOTAL -ifr SJ:L