HomeMy WebLinkAboutPermit Electrical 1993-4-2
'1'h~. loliowing pro]ecl as' ' , ~
225 FIITH STREET ;~~~~e~fnd does not re;~~e"'s~:~ff~S IhelIDEC'J.'!UCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477' land Use n. F'\~ (
INSPECTION REQUEST: 726-3769jonlng. Cc..... City Job Number '-'1.9-,(.x.)( ) ,_
OFFICE: 726-3759 Oale_'t-Z. '73
.Auf1._,,- 3. COMPLETE FEE SCHEDULE BELOV
L ~Ar9tl OF INS~T.J.A.TIoN'ized Signature JRII
, I I (, n Q j, "- 'X"...L..L1J A. Nev-Res4deAt ial-Single or
)( Multi-Family per dwelling unit.
tl~~a~jIJON (')(4f0 - Service Included:
.
J~OB (flm~~~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended .for
'180 days.
2. CONTRACTOR INSTALLATIfN_ ONLY
Electrical Contracto~ sAY~.J PJ od't-
Address r3~~~ tiu.:u" qqS
Ci ty 2t D~ Phone..1..+tJ ():(q1
Supervisor Qicense Number ~~') _
I/J./.Qi
CO/d)3
IIJ. J /0 .q~
Expiration Date
Constr Contr. Number
Expiration Date
Sign~ ~, Supervising Electrician
,:/ / )!J1~ Yf1///,k ..
Owners Name I H-tP '
Address~ ~ (\. 00rn0J
Ci ty ~\o o..M Do) Phone ~I \?~ 1- <(()
. M
v...t.l\ INSTALLATION roDS S
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE:_ -;:~. \ , .CfS,r,' ~--~-~-----
RECEIPT I: \ ~. _ / / / L4----/
RECEIVED BY:Y]\l 1-..~. )'
Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each,Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "BtI
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circui t or wi th Service I
or Feeder Permit f
$ 35.00 .~~
$ 2.00 ~
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
40.00
40.00
20.00
36.00
not included)
5.
$
$
$
$
6r"J.0J
:~~'.~
......;
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL