HomeMy WebLinkAboutPermit Electrical 1992-10-20
225 FIITH STREET
SPRINGFIELD, OHEGON
INSPECTION REQUEST:
OFFICE: 726-3759
97/,77
726-3769
1. ~cATroN~~1NS1A~LATION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
S..IIINGot:'Il.:.LU
City Job Number
3. COMPLETE FEE scnEDULE DELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
-
2. CONTRACTOR INSTA~ION ONLY D. Services or Feeders
^J 'A Installation, Alterations or
Electrical ContracttGlr 00 to 111 I hfld- Relocation:
Address ~[) ~_ q\()~
Ci ty~.r-p)\~ Phone Cf:\.A,-~lof}Q
Supervisor License Number- c!)')()flf:)
If). J.q~
Expiration Date
Constr Contr. Number (~~R~(()
Expiration Date
/}, ,!). qc':)
Sign~ of supervis{ng Electrician
. ~"I^^ f\ .\..\ ~"'-" Q_
Owners NaU (')(\ cl 00
Address B~ I \ 1"f\f1 A i 11 ~
Cit~~l/t Phone]Zo:-.OR13
O\lNER ~N~TALLATION
The installation is being made on
property I own which is not intended
(or sale, lease or ,ent.
Ownccs SiLrnaturc:
~~~;~----------()/-t)~~(J~C1t)--~-----
RECEIPT 1:v1E::t{ v'.~ ~~(.?
RECEIVED IIY ~ J.XA~7 -
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 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 "D" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00 55
Each Addi t ional
Circuit or with Service ::J.
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUDTOTAL OF ADOVE
5% State Surcharge
TOTAL
$
$
$
$
3,)~
I.'D~
c-c'j R . '?.. c:;
40.00
40.00
20.00
36.00