HomeMy WebLinkAboutPermit Electrical 1994-10-17
The following project 09 submttled hIlS tho follow,
loning, end doe~ n~t require speciUc land use
225 FIFTH STREET approval. ELECTRICAL PERMIT APPLICATION
SPRlNG~IELD, OREGON 97477 Zonlna rn D~ (IL\\c::(......1l
INSPECTION REQUEST: 726-3769/ "/1-0/1 'City Job Number "-'1,.") / ~
OFFICE: 726-3759' DeI.~' -c .
f f) /!tt- COHPLETE FEE SCHEDULE BELOV
1. ~TIOli-.OF I~ALLA-d'8W.r1zed Signature
,-'1 )~:"-. (~ID"&-)\ Q'Y'o L2.-> A. New Residential-Single or
/A Hulti-Family per dwelling unit.
LEGAL D~~ION Service Included:
II)(\~ ~oa ) ~~l.o Items Cost Sum
JO!l..D~SCRIPT~N . " 1000 sq.ft. or less $ 85.00
LA Jt.1 n ~ ^ 0 J -\. )(\ tf\?"\.1)o .. Each additional 500
. \ ~ sq. ft or portion
Permits are non-t a sferable and expire thereof $ 15.00
if work is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Hodular Dwelling
180 days. Service or Feeder $ 40.00
!
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~"/A ~#/C
Address :; 7lf?. /"~~",.,../
City. &jY.H:/ Phone =?~-;;>29?
Supervisor Licen~e Number .~~ ~,,-~
/()-73
/ 7;):S- L
/ t)--9.3
Expi.ration Date
Constr Contr. Number
Exphation Date
.
Signature of Supervis ng Electrician
~~
f'Jtl ~ l j; \ \?l X-
Address .~~{j Gr1 -;- <2t i ti
CitY~PhOne -~ .
. OVNER ~AIiATION
The. installation is beirig made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPr I:
RECEIVED BY:
"IP} ~ ~t~\,-.
\)l~"'~ .
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
$ 40.00
$ 55.00
$ 80.00
volts see "8" above
D.
Branch Circuits
New, Alteration or
Extension Per Panel
-L $ 35.00 M
$ 2.00 .H.
One Circuit
Each Additional
Circuit or with Servi~en
or Feeder Permit ~
E. Hiscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE Irtfrn
5% State Surcharge - ~ '''T~
TOTAL (~ .~ "
I
-\\t"J.'/2-