HomeMy WebLinkAboutPermit Electrical 1991-09-13C'fY OF
SI'TIINGFTELf,
?ie
225 FIFTE STREET
SPRTNGFTELD, oRBGoN 97477
INSPBCTI0N REQUESTz 726-3769
0FPICE: 726-3759
1
ELECTRICAL PERHIT APPLICATION
Ci ty Job Number
3. COHPI,BTB FEE SCHEDULE BELOS
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service fncluded:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
B Services or Feeders
Installation, Alterations or
Relocat ion:
200 amps or less I
201 amps to 400 amps '
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/voIts
Reconnect 0n1y
c Temporary Services or Feeders
Installation, Alteration or Relocation
D. Branch Circuits
Nev, Alteration or Extension Per Panel
$ 3s.00
LOCATION OF INSTALLATTON,IAt88 Alae7H Tarn
DESCRIPTION
0
JOB DESCRIFTION
€
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. COIITRACTOR INSTALLATION ONLY
Electrical Contrac to, l,l{,
Address 163 7r/fury 57A
ci ty-Phone
Supe rvisor License Number 3O(L-,
Expiration Date
Constr Contr. Number otgS(
Exp iration Date
OIINER INSTALLATION
The installation is being made on
property I own vhich is not intended
for sale, Iease or rent.
0vners Signature:
DATE:
RECEIPI
200 amps or less $ 40.00
201 amps to 400 amps _ $ 55.00
Over 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see uB" above
Signature of Supervising Electrieian
/>/*- Q-***
orn"'/nnur" dcoete 6rw, th
Address 2l trtr ZotL
Ci ty e /FP, Phone 7 ?7 * 2.17C
Sum
$ s0.00
$ 60.00
$100. 00
$130.00
$300.00
$ 40.00
F o:+w
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/outline Lighting-
Limited Energy/Res
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permit
SUBTOTAL OF ABOVE
5Z State Surcharge
TOTAL
$ 2.00
762
4L 6?
$
$
$
$
00
00
00
00
40.
40.
20.
36.
gt*5
RECEIVED BY:
/a/4r
t a a