HomeMy WebLinkAboutPermit Electrical 1992-11-23
S'.'IINC.t:IELU
. .
, submitteO ., ,... ....
, ~ ,The wing proJectl as[)ir pecific land use - ~", lJ r;,
zoning, and does no re ~;- U
225 FIFTH STREET approve!. \ If\ ELECTRICAL P'ERHIT APPLICATION
SPRINGFIELD, OREGON 97477 roni~.J~~l. qnl e::..~~
INSPECTION REQUEST: 726-3769 \ \ ~'I ~V\ Ci ty Job Number rJ... 0..J:.J
OFFICE: 726-3759 Dele. ./
Authorized SlgnelUfe_ :: . WIIPLIITE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION,
;3q b$l. (),an \()~1Y.al, A. New Residential-Single or
U I Multi-Family per dwelling unit.
1;(~S~PTION!JCff\~ Service Included: Items
Cost
Sum
JOB DESCRI~ION _
\..1\Vl-\\l) f\o~ rl . 9 rto f\ S\(')Y\ c; . I tal
~ I -\-0 GLDr'l).).(}Dru~i0.ftrrrr--
P its are non-translerablre ana dxplre
i work is not started within 180 days
of issuance or if work is suspended for
180 days.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor('tS €JLni/iJ{lJ,~,
Address_P.O. ~rfr 1t}~:L
Ci tyJJp r\.'i rfl9.b1 0 w....., Phone.J!/:...J -1.1..~L
Supervisor L~cense Number 1 t-,9,t-, S
Expiration Date IO.-I-Q5
Constr Contr. Number '.f).~ $l; t.j, q
Expiration Date q -1-4 ~
~~;2ai/~triCian
~s Nallie /(W\ I ,J tn,,)
Address 3qJ..~ ~IIJL, ~~', .
City -l~~nI, Phone 'fJjlf-. l'Bor!
OVNER INSTALLATION
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to,600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circu it --'- $ 35.00 .5::J. DO
Each Additional
Circuit or with Service
or Feeder Permi t ~ $ 2.00 J.j, CD
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 installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res. $ 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
~~~;~-----~= . ::f~t'df=.----;------
RECEIn Ii: ' ~ _ ~}0 k"J
RECEIVED BY: y,,",--,
"'-'" ._~
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.qq,OD
I. '1 'l
4-n U 'J