HomeMy WebLinkAboutPermit Electrical 1996-11-27
.
The iollowinq r.:,r"i""ct 1'1'" !':ltt
I:.
fl" .'
'1"":- ~lJro t~,:, 0 :OWltlSPRINGFIELD
225 ~~tLO STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
ZO~r0----"
Dcte JI ~ rl::....9ft
97471-ulhorlzoo Signature /J M
726-3769
1.
LOClI, , TION J}'/1'~Iflkt.
-2,'1f13/'
LEGAL DESClUPTION
nn3oL.:.< ..t..OOO)<:o2..,
?t DESCRI~ON
M.JJ vol ~cJ ./
Permits are non-~ansferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPUCATION
City Job Number!l!t/721 ~
COMPLETE FEE SCHEDULE BELOI1
3.
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Sum
Items Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorSnnitrol Security or Relocation:
\
Address P.O. Box 21009
City Euuene Phone 461-5678
Supervisor License Number /1089 I!.ET
Expiration Date 1()-1-90
Constr Contr. Number 65149
Expiration Date 6-28-96
Signat:;;~J!:ician
- ,
Owners Name
Address
Ci ty Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------rr----------------------------
DATE: - :<74 ~
RECEIPT 1I: --2..3'12'-7
RECEIVED BY: _iI A
c--.
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
$ 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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$ 35.00
$ 2.00
not included)
rX
,
$ 40.00
$ 40.00
$ 20.00
$ 36.00 ~U
(~.(Jn
/,*rr-
',Or;{
~\S' ~Y'