HomeMy WebLinkAboutPermit Electrical 1996-08-29SrIRH-i,' .- -.i)
zoning, and
approval.
c**$b9-!!
225 FME STREET ,Authcrlzod
SPRINGFTELD, OREGON 97417
INSPECTION REQTEST:. 726-3769
OFFICE: 726-3159
1. LOCATION OF
I-EGAI DESCRTPTION
JOB DESCRIPTI
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. CONTRACTOR INSTALI,ATION ONLY
ElectricaL Contractor \r".
not require epecific land uee
ELECTRICAL PERHTT A?PLICATION
City Job Number 22,
3. COHPIJTE FEE SCEEDULE BELOV
A Nev Residential-Single or
Mul-ti-Family per dvelling unit.
Service fncluded:
I tems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home- or
Modular Dvelling
Sertice or Feeder
s 85.00
s 1s.00
s 40.00
B
I c
C
Services or Feeders
Installation, Alterations
or Relocat ion:
_/-
2oo amps or less r' $ 5o.oo 52.a
201 amps to 400 amps
-
S 60.00 v
40L amps to 600 amPs
-
9199.99601 amps to 1,000 amps- 5130-00
over 1b00 amps/volts
-
$300.00
Temporary Services or Feeders
Installation, Alteration or Relocation
%V,
I
Sum
above
eddress 00 gElo
Ci ty e phone eflg$7tS
Supervisor License Number s
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
0vners Name
Address
Ci ty Phone .-.a /zB22
OVNER INST
The installation is being made on
property I ovn vhich is not intended
for sale, Iease or rent.
Ovners Signature:
DATE:
200 amps''or less S
201 amps to 400 amps
-
$
over 4b1 to 6oo amps
-
S
Over 600 amps or 1000-volTs se
40
55
BO
e
.00
.00
.00ilBr
D. Branch Circui. ts
Nev, Alteration or Extension Per Panel-
One Circuit S 35.00
Each Additional
Circuit or vith Service
or Feeder Permit S 2-0O
E. Miscellaneous (Service/feeder not included)
-Each instal-lation
Pump or irrigation _Sign/Outline Lighting_
Limi ted Energy/Res
Limi ted EnergY/Comm
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
s
$
$
s
40.00
40
20
00
00
0036.
.ae
5
RECEIVED B
7sq