HomeMy WebLinkAboutPermit Electrical 1996-11-12
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225 FIFTH STREET D81o_l/ ~ / l -4 __
SPRINGFIELD, OREGON 9747J. -(y
INSPECTION REQUEST: 726:,,~(j~Signatur.f1 M
OFFICE: 726-3759 ~
3. COllPLE'l'B-FEE SCHEDULE BELOV ~
1. . L~SAp:ON OF INl?TALLATION
-1.LlllJ \rt\n..,U\ A. New Residential-Single or
Multi-Family per dwelling unit.
I rt ~I'-'~!ilSq.q:PTIO~~ ft ,,/\ Service Included:
/() OF9 't'\ IldLUV Items Cost Sum
ELECTRICAL PERKIT APPLICATION
Ci ty Job Number C\\of)~23
$ 85.00
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
L JOB DE~PIlPN..t->
\ II ")f) UJ U'.t u..A j\
$ 15.00
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
$ 40.00
Services or Feeders
Installation, Alterations
or Relocation:
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor ~ l:!.or~V\
Address gQC1"l("'""D:iy Lane.,
City to q<!2.tl\ e." Phone ~t'o-Oq()..s
~
Supervisor License Number /51;,'0 S
/O/I/q!'J
5#31
'1/50 / Cj e
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
Expiration Date
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
$ 40.00
$ 55.00
$ 80.00
see "B"
or less
to 400 amps
to 600 amps
amps or 1000
200 amps
201 amps
Over 401
'Over 600
Expiration Date
Signature~ervising.Electrician
~/~
Owners Name (ilig f\ ~m~ 1\
Address:1~_ A ~~
Ci ty..J.u!liVlL Phone~
OVNER ~NSTALLATION
above
volts
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit ~ $ 35.00 35
Each Additional
Circuit or with serv~ ,~
or Feeder Permit $ 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 (~1.{f)
5% State Surcharge l'~
3% Administrative Fee _ '- r I
TOTAL ----:'''M . (..\ 1/7
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------7~-------------------------
DATE: 1/-1,t.-1 &
RECEIPT jl: '2.......777..
RECEIVED BY: u.,.