HomeMy WebLinkAboutPermit Electrical 1998-6-11
.
-
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 480 lp~
-
3. COMPLETE FEE SCHEDULE BELOY
, . '
. \.i lng
ZOning, end ,proJ9Ct lIB OU......... ~
approval aoe. not req' .,-'''"''lJ IIae tho
. ...re "P8ciIID land .....
, Zoning.f11:t,y
Oate~~I/ ~q l.
225 FIFTH STREET _ -
SPRINGFIELD, OREGON 97477 1Olb....~rej)YlI\
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. ,wor~li!a&IflI~N JUQ..,
-
Jfl~~PTt~
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
OB DE CRIP 0 ) '"
l.1 d IT
/J v
Permits are non transferable1~~e
if work is not started wi~~8~
of issuance or if work ~ ~p~~ for
\180 days. -:r, ~ % ~dl
CONTRACTOR INSTALLATIO~~' ~ ~\ ,B.
..0 :>9".; ~ ~
E1eNrica1 Contractor ~_ iP~~. ~
" /' (.,.A"'""n~
'\ '""" ::g U. ~
Addres';;-, /' ~ ~ ~200 amps or less
. / '% ~-^ ~1 amps to 400 amps
Ci ty '\., .'Phone ~ ""/, amps to 600 amps
. >.. / 1>. U"~ amps to' 1000 amps
superVlsor7,cen,e. Number :>9 ~er 1000 amps/volts
Reconnect Only
Expiration De".,
" C. Temporary Services or Feeders
Constr Contr. Number .... Installation, Alteration or Relocation
/ 4il
....
Expi' tion Date "', 200 amps' 'or less --1- $ 40.00
, \. 201 amps to 400 amps $ 55.00
S'gnatur~ of super.vising Elect~ian Over 401 to 600 amps $ 80.00
'\. Over 600 amps or 100u vol ts see "B" above
, ,
...
..
Owner~ Naefh ~ J-lDQ10 t:J
Add ress If) I q h r; f/J1.1i.1:ttJ
City~(f) Phone RQ~.stot:5
OYNER INSTALLATION
The installation is being made on E.
property I own which is not intende~
for sale, lease or rent.
ovn~~~
~~------"'"'-------t;;:-rr:'l -,- 5.
! RECEIPT #: I _ /" ;.L( 6. I ~
, RECEIVED B~Y).. J(~J
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home, or
Modular 'Dwelling
Service or Feeder
Services or Feeders
Installation, Alterations
or Relocation:
D.
Branch Circuits
Items Cos t
Sum
$ 85.00
$ 15.00
.$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
3% Administrative Fee
TOTAl.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~0
4a:~)