HomeMy WebLinkAboutPermit Electrical 1993-5-3
225 FIFTII STlUmT
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~._.:,ov .I.
Zo.11\"10
9~~~~3i769~/.1 I ~ ) .
Aut\ .(.In;:,~d Signature
1. LOCATION OF INSTALLATION
~ HI>lUDt..4 ~
I r){)~~s~~l~ L~ I CD
JOB DESCRIPTION
A~ ,,~lJE>
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. CONTRACTOR INSTAU.ATION ONLY
Electrical Contractor K~u ~
Addl:ess ~~'
Ci ty W~~
Phone ~Z.I'1b"'l
Superv.isor License Number ~I
Expiration Date \0(' ["'l?
Constr Contr. Number ~"'18
Expiration Date ?~1-"f4
Signature of Supervising Electrician
,ph/ ~ h!'''7A- ~ 'L
Owners Na~eclth~ \7t~~
Address~()()I)<- mn !\.M')/fl i&
Ci ty XOll~llone
( .
OYNF.R I TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
I'
~~~E~-:---~~~)~-~-------------
RECEIPT I:~ -, f"'l ~J t
HECEIVED BY' '
\..,~..",,--,---
J
'''11
,1...!7~ " ELECTRICAL PERHIT ~P~ICATION
:1. IV' . Ci ty Job Number ~ 3Df!fJ.o
3. COHPLETE FEE SCfiEDULE BELOY
A.
New Residential-Single or
Multi-Family.per dwelling
Service~neluded:
it
Sum
uni to
Items
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd nome or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not i neluded)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting I ' $ 40.00 4o~
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAl.
40~
"2-~
4-z.~
..1.--:..". .