HomeMy WebLinkAboutPermit Electrical 1991-1-11
SPRI.LO."."....
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225 FIFTII STREET
,SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL pEIuIrr APPLICATION
City Job Number' '
3. COMPLETE FEE SCHEDULE BELOV'
,1~ , J~~95, rntrfnT~f?~
\ <<t~~E~CRI~ h9Fl (-/J ,
~~'~~;:rn?:::~~
if work is not started within 180 days
of issuance or if work is. suspen~ed for,
180 days.
New Residential-Single or .
Multi-Family per dwelling unit.
Service Included:
A.
Items Cost
'Sum
1500 sq.ft. or less $,85.00
Each additional 500
sq. ft or, portion
thereof . ' $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or, Feeder $ 35.00
2. CONTRACTOR INSTALLATI~N ONLY B.
'Electrical contracto~~'{\l~-it.l.) ~\\('f.
Address \)() ~~ \ \ \ ' -
Cityl\'1\!J\JN\\\'-P,Phone 14l{")~~~
Supervisor LIcense Number 3D q \.ctS
\(). \,q,Q
Services or Feeders (10 Branch Circuits
'included); Installation, Alterations
or .Relocation:
100 amps or less
101 amps to 400 amps, I
401 'amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
, $ 90.00
$130.00
$300.00 '
$ 35.00
/N)
Expiration Da'te
Co~str Contr. Number l () ~C()5
':318\)Q\
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
200 amps or less
201 amps to 400 amps
Signature of Supervising Electrician
y a~~ ~)o-~,.J.
(" . ,
Owners Namef ~ ~rn ~() ~!:\? '
Address \';) If'\ ~ '\'{\(\ t ^ )
Ci ty. ?Del ~hone
OWER ~s\ALLATION' .
, "
D. Branch Circuits
New; ~lteration or Extension Per Panel
One Circui t
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$.50.00
$ 15.00
The installation is being mad~ on
property ,I own which is not intended
for, sale, lease or rent. '
E. Miscellaneous (Service/feeder not included)
-Each installation .
Pump ,or irrigation $ 36.00
Sign/Outline Lighting $ 36.00 '
Signal Circui t or, - .'.
limited energy.panel $ 36.00
( 0 r/:fJ
. ~~ ,UU
( 1'l0.c.U
Ovners Signature:
-----:--t-:;----- "
DATE:k:i(\ f'\ '. \ \ y.J.,q \
RECEI:.:L'1 \'-\(\0,4 _
RECElv"VY: '\::!f.!J.,..)".-/
5. SUBTOTAL OF ABOVE
5% State Surcharge,
TOTAL