HomeMy WebLinkAboutPermit Electrical 1991-9-12 (2)
.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759'
3.
1. k9CATlQfiJ>F~ST~LATIOh,....,1
0~:'>u \)f\\~ TVq
\l0~~~N D\~
~_~DES~~O t\1itJY\
.. ~"f
- ~,
ELECTRICAL PERMIT APPLICATION
q \ \O,:=,
City Job Number
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
, Multi-Family per dwelling .
unlt.
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 \ 4()
Service or Feeder $ 40.00
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
Contractor
)
/
City
Supervisor
Expiration
Constr Con . Number
Date
Supervising Electrici~
,/
//'
. Owners N~r\rtt\ _~ ," ' ":/ /
Addr.;;~~) W .3<J .
Ci ty 1\0 JhoneL~l" oa32>
. . ,
TALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
L1~ VvL ~~
~A~;:------~~7---~-~~~~~---~-
RECEIPT #: A--. /J . ~ ~N ~..,q
RECEIVED D~'- -0GL-}
B. Services or Feeders
Installation~ Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outlirie Lighting
Limited Energy/Res
. Limited Energy/Comm
40,00
40.00
20.00
36.00
not included)
5.
$
$
$
'$
~.~
4!J,. ,DU
..
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL