HomeMy WebLinkAboutPermit Electrical 1996-1-30
lttod has 1ho {ol\oWlilg
Th'3 tC\l!owlng prO;$~ :~~I~:~p~iii.C lend use
zoo:O\}. and does n .
rp?rcval. . ,4, /)f2-
225 FIFTH STREET. . iO:';{) ~e-; 0'
SPRINGFIELD, OREGON 974T-'P - ~
INSPECTION REQUEST: 72.~u.~].6.9d s~naturo ,
OFFICE: 726-3759 . .
1" AD~TION rQ.P INST"rlROb
-.J,O't'\" (. " \ \ ~ h
\ -, ~~Ef~PTIOfJ\CCJ\o
+OJ~D~~~
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 .B.
Elec trical Con trac tor tea-Iv ~ [leSloc.
Address P. D. ~c:t '1 ~g ~
Ci ty fll.1c.IVt '91lfDl Phone 'n ~ - ~30 j
Supervisor License Number ]~I~ 5
Expiration Date IO-I-~S'"
Constr Contr. Number '1'1 S"lQ
Expiration Date
c: - 20 - 9b
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
~~~:-:~------\ .~~-~~
RECEIVED BY: \~\t~ ~___:. . .
',' ',. '.~::;},:-- ..:,::: .',. ','
ELECTRICAL PERMIT APPLICATION
~CStJ1\ Q\o
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 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 $ 40.00
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 OnIy
S 50.00
$ 60.00
S100.00
$130.00
$300.00
$ 40.00:
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps"oT less \
201 amps to'400 amps
Over 401 to 600 amps
Over 600 amps or 1090 volts
$ 40.00 L\f)
$ 55.00
$ 80.00
see liB" above
..'~
Branch Circuits
o'
New, Alteration or Extension Per Panel
One Circuit
Each Addi tional
Circuit or wfth Service
or Feeder Permit
$ 35.00
$ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~~
'I. .u:J
~i'.~~
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAL
: ':'. ':~~'~,:..,.'