HomeMy WebLinkAboutPermit Electrical 1994-7-14
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225 I'U." STREET Zo I I 1)1/? ELHl:rnICAL PERMIT APPLICATION
SPRINGP'IELD, OREGON 97477 flOg - ~ ll..Alf'.I::!..c:::.
INSPECTION REQUEST: 726-37fi910.:2::.11-.-'i<t- City Job Number~
OFFICE: 726-3759 Authort>:.Q." I
. . "'Qnoture~KPLETE FEE SCHEDULE BELOII
1; r+P1iJ!!ON~A!~~,!,~LW.TIOI:lI I/V -
~) tQt ) {.L/JLJJ...JJ off" ({Jl(J A. New Residential-Single or
- , Hulti-Family per dwelling unit.
~IOt)<\.4.[,{) Service Included: Items
1\1\ .JQIlNlEScr IPT
\...A '\ \l H \1 ,
Constr Contr. Number (03\:'1'7
Expiration Date 12--L;j -(13 200 amps or less
. 201 amps to 400 amps
Signature of Supervising Electrician Over 401 to 600 amps
;;Z /1/ iJ / _~ Over 600 amps or 1000 volts
'i! ower: ~(\r~~_~l"N\ 001i1 ~nch Circui ts
Add~S~\~' ~~-'V". New, Alteration or Extension Per Panel
11 A"ll -,d..- .111:".1 _~ One Circuit $ 35,00
Cit . '..LY _ Phone---L..\J'~ Each Addi tional
Ci rcui t or wi th Servi cy ^ ex)
o NSTALLATION or Feeder Permi t $ 2.00 N '
-transferable and expire
started within 180 days
if work is suspended for
Permi ts are I.
if work is not
of issuance or
180 days.
'2." CONTRAcrOR INSTALLATION ONLY
Elec'tr'ical Con tf~c tor J:tF-R. iiA6r-_cL-ecr:
..Io.'ll- ~ "P - -
Address. ~,"; \,\J~, v z::.j-;-l:!:,\ J':_
City t='.I1 f-lIz:=-^-II=::-
7Z-Cj -l5DO
6 ~S'-I6&<>
Phone
Supervisor License Number Cjl\"i'S'
Expiration Date to -I-q<=)
The installation is being made on
property I own which is not intended
for sale, lease or rent.
,
Owners Signature:
"
DATE: ,
RECEIPT, I:, I
RECEIVED BY.
- - --
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd 1I0me or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
&
$ 40.00
,9{) .rtJ
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
$ 40.00
$ 55.00
$ 80.00
see "D"
above
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 ~ fO
5% State Surcharge ~it~. \U
~ 3Gb r-!J:1~
T~ ffi..~