HomeMy WebLinkAboutPermit Electrical 1991-4-18
225 FIFTU STREET
SPRINGFIELD, OREGON 97477
, iNSPEcrION REQUEST: 726-3769
OFFICE: , '726-3759
3.
'1. LOCA~ON OF I~LATION lli ' ~_
I (o..~l~ (1)1DOY .UW\.fJ'"
WGkL~~SCRIPTION' 0
, I' lU0r4(,,!J R ('J(qO{)
ELECTRICAL PERMIT APPLICATION
City Job Number . C1'/~~
COMPLETE FEE SCUEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
" JOIl DESCRIPTION 1500 sq,ft. or less $ 85.00
\.. <"",'\ ('...yY\ Each add it i onal 500
o sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is sqspended for 1.0 'Modular Dwelling
180 days. li I( f1) e)(tJfl.:.iA 0<rLVl{ f5t JiL{r, Service or Feeder $ 35.00
, f1UO -lit.... I
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch'Circuits
included). Installation, Alterations
Electrical Contractor Jbt-..es SJ,...' (,,111M! {lrp or Relocation:
,Address
/ In 7f6
b.WHh./ '
Ii
ir:::
L,v-
City
,Phone '-t 0-!-Lj&y.2:
"Ce5f"'
1- /- Vp,
Supervisor License Number
Expiration Date
100 amps or less
101 amps to 400 amps
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
Constr Contr. Num~er
C. Temporary Services or Feeders
't U}-z-r( Installation, Alteration or Relocation
Expi~ation Date
(-I- 4,2
Signature 'of Supervising,Electrician
~;,:.
, Owners Name
Addr~ss1\qC() ~).
City~OiY'l
, U _W"'I D.
'11J~
(Dmj~O) 11-)
Phone ~PA ~-1f f/
OWER INSTALLATION
The installation is being, made on
property I own which is not intended
for sale, lease or rent'-
, Owners Signature:
DATE: L/ - (i? -11
RECEIPT I: t Lf7:?J' '-J
RECEIVED BY: 0. ~
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
Branch Circuits
volts
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting 'X $ 36.00 ,'41 () u:J
Signal Circuit or
limited energy panel $ 36.00
One Circuit
, . Two, to ten Ci rcui ts
Each Addt'l ten or
portion thereof
S Lo.CO
! T"P
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