HomeMy WebLinkAboutPermit Electrical 1993-2-19
The fcllowi"'lg nr-Jj?ct as f\ubmmdcl, ~~"'; th~ io!lowi
zoning, enc.d~3a not rcqui,e c);ci.lc br..:l us:)
225 FIFTH STREET approv.!. W' ELECTRICAL PERKIT APPLICATION
SPRINGFIELD, OREGON 97477 _' q Q "'\~ \
INSPECTION REQUEST: 726-3769 .:.0..,..::_" _\_-- Ci ty Job Number ,. X) .....)
OFFICE: 726-3759 Dat~_d-J::t-(n .
, Cr3. COMPLETE FEE SCHEDULE BELOV *
1. A-qcOA?OR OF rfi?);lfi~~,QifJn!j::!!e.""''-iA. '
~L ~( ) j1 New Residential-Single or
Multi-Family per dwelling unit.
\ ~ ~,~ SCRI/1 [~,IONnO/ ' I'Y"""\ Service Included:
'ILJc),"'\/ 4-1 ~ Items Cost Sum
A:l OB,{lESCRI PTION:1L.....
'\ \ "A tI f'\\ 11)( J.,'SJ
\
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
Electrical Contractor ~~ t~~
Address f {, /:1 g ~ AJ
City ~~ Phone I' r 76(,,'7/
Supervisor Licen.se Number R .'1.%
j<>~/-?.s ./~--;I""".';I'';-
Expiration Date H-> 0 ~ ..
:: 'I
Constr Contr. Number
G' J.."8s 0
'- .-<J.3
Expiration Date
II -j
'i .
I" ~~ature of Supervising Electrician
)(JH7~t1'-jp/~Z-
I..... Owners Name ...1(' ~ ffi q q.f\.KJ:J ')
Address !J 0SO "',lo l.A^,"J~
>ffllt, Phone t4b- fw1
OIINER INSTALLATION
City
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE~--;;Q-'-77-Lf3-------~::::;;----
RECEI PT I: l,.. J ---^-"' -.-J-
RECEIVED BY: c:::; I./oJ ~ ~'
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
201 amps
Over 401
'Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D. Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see nB"
above
.;r-
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit ~
$ 35.00
"2 r-.t .
~.
$
,"'~
2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE,~/ ~
5% State Surcharge ' 01 ~ I>
TOTAL ' ~'3.o 5