HomeMy WebLinkAboutPermit Electrical 2000-3-30
.
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE:
1.
_ll/trf.~E~~30Q () 9-1 t)()
JOB DESCRIPTION
--.\~ Q ,~KYJ
Permitk are non-transferable and expire
if york is not started yithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractorm1l1 l)rJl~keltc,
AddressY() Ihr-.X ;);)d() J Q.
City~ filg Phone lof3i31'?
Supervisor License Number /.fInO 1(,
Expiration Date 10) in
Constr Contr. Number;}/) -~/1{'
Expiration Date
Electrician
Signat~f Supe,'lisin}
______ V r /I I1~
-------
Oyners Nam
Address ~
Ci ty~"-J Phone
0'
OVNER INSTALLATION
~
The installation is being made on
property I oyn which is not intended
GVO:~3tHB~ale, lease or rent.
:39N~~ers Si~ature:
OS'8~ $ G:Q33~ !W~
OOOG O~ ~~W:31~Q
16010~;~':~aN~~~-------=~~~)--------
RECEIPT II: U I "" ') \\ )"'\
RECEIVED BY:~V ' -
ELECTRICAL PERMIT APPLICATION [
City Job Number if) .ro~.()
COMPLETE FEE SCHEDULE BELOY *:
Ney Residential-Single or
Multi-Family per dyelling unit.
Service Included:
3.
A.
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dyelling
Service or Feeder
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
$ 15.00
,$ 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' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over '600 amps or 1000
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above
,"
-I-
Ney, Alteration or Extension Per Panel
$ 35.00 3Sl20
One Circuit
Each Additional
Circuit or yith Service
or Feeder Permit
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
7% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$
<\.0 D
-.-D. "" ~
.~*.~7
40.00
40.00
20.00
36.00