HomeMy WebLinkAboutPermit Electrical 1994-09-01Jnd-ro&lxb
225 FIFTE STREET
zoning-M-
oaaS#ELECTRICAL PERHIT CATION
SPRINGFIELD, OREGON 97477 Authorized
INSPECTION REOIIESTz 726-3769
OFFICE: 726-3759
C ty o Number
3. COHPLETE FEE SCffiDtILE BELOV
A. Nev Residential-Single or
Multi-FamilY Per dvelling unit.
Service Included:ftems Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
s 8s.00
$ 1s.00
s 40.00
B Services or Feeders
Installation, Alterations
or Relocation:
200 amps or less
20L amps to 400 amps
-401" amps to 600 amPs
-
601 amps to 1000 anPs-
0ver 1000 amps/volts
-
Reconnect 0n1Y
$ s0.00
s 60.00
$100.00
s130.00
$300.00s 40.00
\3frtp
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
-Over 401 to 600 amPs
0ver 600 amps or 1000ETt
1 OF
ON
Permi t non-transferable and exPire
if vork is not started vithin 180 days
of issuance or if vork is suspefided for
180 days.
2. COMRACTOR INSTALI^ATION ONLY
Sum
I
Electri
Address
l- Con t racc
Ci ty Phone
Supervi sor cense Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Su ing Electrician
Ovners Name
Addre
Ci ty Phone
OVNER ALI,ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE:
c
D. Branch Circuits
SUBTOTAL OF ABOVE
5Z State Surcharge
3Z Administrative Fee
TOTAL
Nev, Alteration or Extension Per Panel
one circuit I $ 3s.oo eb.dD
Each Additionalcircuit or vi,n,t"rrtt g 2.oo Wor Feeder Permit I $ : I
nc\
a6ove
s 40.00
$ ss.00
$ 80.00
s sge rfBtt
E Miscellaneous (Serviee/feeder
-Each installation
Pump or irrigation
-
S
sign/outline Lighting- S
Limi ted Energy/Res
-
$
Limited Energy/Comm $
not included)
40.00
40.00
20.00
5
RECEIVED B
or)
\
Jta