Loading...
HomeMy WebLinkAboutPermit Electrical 1995-10-5 . ,,,"':(j\\P.hltl; ~U\1lQ liIM ~l) ELECTRICAL PERMIT APPLICATION iotl!';\' C G . n ~ \1 () -:2 ,j) INSPECfION REQUEST: 726-3769 0 5,' Q5' C1ty Job Number Vl ~) ...:Sf ./ OFFICE: 726-3759 DGlo \ _ . ___T,~l nD . - , , A~S1 nfl,.iC 3/"'<<OKPLETE FEE SCHEDULE BELOII ~ 1. LOCATION OF INSTALLATION~ a ,~.'"~..~-, ,~ 1;7(');) frJdrJ? ,5/- A. New Residential-Single or Multi-Family per dwelling unit. J.0Q~~~IrN n R.Jffi Service Included: 225 FIFTH STREET SPRINGFIELD, OREGON 97477 'Tho Io~W\hg p"..... . " lonlno\ end tk app'o~"I, JOB DESCRIPTION in:)!/.] (( 6ecun =tv 7 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. CONTRACfOR INSTALLATION ONLY Electrical Contractor, Son it ro I Secu r i ty \ Address P.O. Box 21009 City Euuene Phone 461-5678 Supervisor License Number ./foJ19 ReT Expiration Date /0-;- 70 Constr Contr. Number 65149 Expiration Date 6-28-96 Signature of Supervising Electrician .~~- " " ~ .,...,;. Owners Name Ca.f'e. Address /s/ '- ")a me Ci ty Phone 7;(& -()t.j3() OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~;;;-:;:--~]I~'\~~-- RECEIVED BY: J ) ~~ '-' Items Cost Sum 1000 sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder $ 40.00 B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less $ 50.00 201 amps to 400 amps $ 60.00 401 amps to 600 amps $100.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 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 "B" above D. Branch Circuits New, Alteration or Extension Per Panel One Circuit Each Additional Circuit or with Service or Feeder Permit ,$ 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 Eneigy/Comm ~ $ 36.00 ,3<"0= 5. SUBTOTAL OF ABOVE :-:3(0 t)7) 5% State Surcharge 1150 3% Administrative Fee !~:? TOTAL . .,,5?88