HomeMy WebLinkAboutPermit Electrical 1996-1-2
.
.
The following project as submittpj r."I~ th~ 'o"owi
zoning, and does not require spc.;if;c le,l" lAse
approval.
225 FIITH STREET J f) /J ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 Zoning ra.dlLF-- (le...\ri'IJ.f"l
INSPECTION REQUEST: 726a-Jl691-;:)~1h City Job Number ~LJ\"1..J )
OFFICE: 726-3759 A"thOriZOOSign~turo~. COMPLETE FEE SCHEDULE BELO\1 *,.
1.~..p-' .CA: ~_ION ~TAL_~_LA_TION I
~llO "\\J I' A. New Residential-Single or
Multi-Family per dwelling unit.
I...,~~~pIi~PTIONt'vt Or-r-\ Service Included: ' '
\ I,,-I} ..&/0':> \ l l\1.'.l.A...J Items C st Sum
,~~~ ~:!:~,,:::\;A~
if work is not startede~r~n 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
c.. ... .5
Electrical Contractor
Address -P.O, 6Jx I~Z.
Phone74/ - 2;2.~~
Supervisor License Number I'~~ ~
/tJ/ 1/ "1Xl.D
Constr Contr. Number 31!.1-"1
q/~/,,;. C\'\'C\\.o
City
""5PFD
Expiration Date
Expiration Date
Signature of Supervising Electrician
/2-r~/d'.~. -U~/-
::::::,' '~~~
City ~ i1. Phone -J. '8p
TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~~--------------\~1.[~-----------
RECEIPT *: \. ~. "'U l~~
RECEIVED BY: ~>~'-"\
1000 sq.ft. or less
Each additional 500
sq. .ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations
or Relocation:
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
$ 85.00
$ 15.00
$ 40.00
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see nBtl above
New, Alteration or
Extension Per Panel
1 $ 35.00 &c6
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
$
$
$
$ 36.00
Af1 f{J
~:2t
40.00
40.00
20.00