HomeMy WebLinkAboutPermit Electrical 1994-7-18
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225 ,u".n STREET O8Ie "1-fo--7<f-
SPRINGFIELD, OREGON 97477 C'lJ
INSPECTION REQUEST: 726-,,'dJJ ....JSlgnature ,C ~
OFFICE: . 726-3759
1. ~O'~iFf!{,Jf:L.
I~?\~I (tM')
--\ OJOB PTION \ 9 0 a1~
Permits are non-t nsferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
ELECTRICAL PERMIT APPLICATION
r.itv Job Number ~
3. COMPLETE FEE SCHEDULE BELOIl
A. New Residential-Single or
Multi~Fami1y per dwelling unit.
Service Included:
Sum
Items Cost
1000 sq.ft. or less $ 85.00'
Each additional 500
sq. ft or portion
thereof, $ 15.00
.Each Hanuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations
Electrical ContractorlUprt- B,l......t-ri -::.... Inc. or Relocation:
Address 1970 No ~Rt-h ,,+-
City Sorincr; f..lr'_ Phone-1.A..:7-')')"
Supervisor License Number
243 S
Expiration Date 10-1-94
Constr Contr. Number 20-55C
Ex1i"ration Date
,10-1-9"-
-
Siguture ~f~ervi~i:F Electrician
~aX(/YidJJ~
.~ .........-'
wners Name
Addres 'f)E:)S
. City
The installation/is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
5E~br~~-~
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less (
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.. Branch Ci rcui ts
$ 40.00 111-
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
SUBTOTAL OF ABOVE
5% State Surcha~j.
Tll'fkL ..s"f()
$
$
$
$ 36.00
~:~
4i~.~
40.00
40.00
20.00