HomeMy WebLinkAboutPermit Electrical 1999-2-12
The, following projecl as submitted has the following
zoning and does not re~e specific land use
approval I f\
, zon~ V\.) ELECTRICAL PERMIT APPLICATION
9~;~~3~~ ' d. -~. ("'" ,.;ob Number, ().Q())1'0
Authorized Signature .
. ~vnr~L~ PHE SCHEDULE BELOV
1, Cf~~~(\e;
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
New Residential-Single or
Multi-Family per dwelling
Service Included:
A.
uni to
Cost Sum
$ 85.00 fY>
$ 15.00 sD
,$ 40.00
t~~Gfb~\~PT~
~~,~~+~,5
Permits are non-transferable and,expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Items
I
2-
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY ,B.
Electrical contracto~Billn~ FJed:ilC
Addresrll () uJo. 1\ \ 'S *-cl~ '
City Cu.,9P np. Phonebt)'l- L~
Supervisor License Number ~I ::;
Expiration Date/()-I-:J(Y)1
Constr Contr. Number'l?Fl{n::::L
Expiration Date ~- ~- qq
$ 50.00
$ 60,00
$100.00
$130.00
$300.00
$ 40.00
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
Temporary Services or Feeders
Installation, Alteration or Relocation
4il
C.
l
$ 40.00
$ 55.00
$ 80.00
see "B"
200 amps' 'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
'Si~2/z:::,
O~m "~,-ITlI'(\a. \1) \.\e~~~ D.
Addre~_r:inD ~I\){\'\-r\l) ~
City nDU\Q, Phone ~4~4, \\<01
01lNER I \STALLATION
above
volts
Branch 'Circuits
"
New, Alteration or Extension Per Panel
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 2.00
E. Miscellaneous (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 /'55:~
5% State Surcharge '7.0
3% Administrative Fee' .J:l.'-r
TOTAL //('7 .rfn
,dv/ .
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
------------------z--- ----------------
DATE: '2-//2- ''j ~
RECEIPT #: r?? eo*- _
RECEIVED BY: ~~_