HomeMy WebLinkAboutPermit Electrical 1997-6-8
.
The fOllow;nn n',
zon;" j _ _" ,l, pr ./::t,.t cs GL:bmltt
l;'. .......\:~!: I d Q..~GJ not ioqulra &P-::1,~~fc~J ~:l1v~'/inJ
/ A .J
Zon:r,.. (....(A iI ELECTRICAL PERMIT APPLICATION
974n;"___~ t(:;7
726-3769 ---- . City Job Number
Al1ThOrtz~:t S~n!.iu.~a J'2I1 .
~-~OMPLETE FEE SCHEDULE BELOV
1. LOCATI~N OF INSTALLATION
~15() '{ru.1I\n ,,.,)t;. #~5 ,A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
I
o
I:
JOB.DESCRIPTION
1L.'l!\..Q ) J\~ J
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
,\
f
,
2. CONTRACTOR INSTALLATION ONLY .B.
Elec trical Contractor1:.~.~ "'~O(\tA"\ fI, {j~.
. ,
Address ~.O. ~1' ~ 1tJ,&~
City~~,_ Phone~3b
SupeL'visor License Number I'" 9.h S
IO-I-qg
Constr Contr. Number O?!~tJ-q
q - l-q1
Expiration Date
Expiration Date
Signature of Supervising Electrician
o~~~~~
Address~15() :..J?nlliU'l. . #'
Cit~r\\!l:\l\~' Phone1/f'1-:31..'1O
OVNER I~TALLATION
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular "Dvelling
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
Items
Sum
Cost
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
Sl30.00
S300.00
S 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
200 amps' 'or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B"
above
,"
New, Alteration or Extension Per Panel
$ 35.00 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
D.
Branch Circuits
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: 1O
RECEIPT *:
RECEIVED BY:
"
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
:15,00
l . '15:
t. oS"
1l'l. ~()