HomeMy WebLinkAboutPermit Electrical 1990-11-21
225 FIPTHSTREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: . 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
City Job Number. ..q()llq.~
'l.LOC~l{ I~Y1\
\ ~~D~~~~ON D3rJO ()
.;;:: '-...--
. .
3.COHPLETEPEE SCHEDULE BELOV. .~
A; New Residential-Single. or ,
Multi-Family per dwelling unit. '
Service Included:' '.
. Items Cost SUIn
J~ DE~PTION
~() L'-1 Jl(1 J LIlA
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 INSTALLATION ONLY .
. ~lectrical Contractor...d:-/.(c-,., ,eRo~
Address~'S7. .&av ,~.j.
city~. Phone 71/1:,-;- t//o.:.f/!;
Supervisor License Number ~ --~
Expiration Date I()-I-q';l
Constr Contr. Number ~()-J.17 C,,'
l500 sq.ft. or less
Each additional 500
sq. ft or portion.
thereof
Each Hanuf'd Home or
Modular Dwelling
Service'or'peeder'
$ 85.00
$ 15.00
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:'
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
'Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$ 80.00'
$130.00
$300.00
$ 35.00
C.' Temporary Services or Feeders
Installation, Alteration or Relocation
. Expiration Date
1t'J -I -q r
Signature of Supervising Electrician'
~..d~~
NameC.~1';~~dT~ . ','
Address \ L 1- '6 [leu.t:,(jI . . .
. City .~ Phone~':" ~sS1
. The installation is being made on E.
property I own which is not intended
for sale', lease or ren t.
Owners Signature:
DATE~---TT:'----F-qry- . .
RECEIPT I: , R- I f,..:;.".;j;J
RECEIVED BY: q 1/ y~ '
200 amps'or less.
201 amps to 400 amps
. Over 401 to 600 amps
Over 600 amps 'or. 1000 volts
D.
Branch Circui ts
$ 35.00
$ 40.00
$ 80.00
see "B".above
New, Alteration or Extension Per Panel.
One Circuit .-
Two to' ten Circui ts
Each Addt'l ten or
portion thereof
$ 35.00
.\ $ 50.00 .f5Cl
~ ,$ 15.00 ~
,
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
'Sign/Outline Lighting
.Signal 'Circui t or' ..
limited energy panel
. 5; SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$36.00
$ 36.00
$36.00
PDQ)
. q. (/(')
Q'+ ,au
~