HomeMy WebLinkAboutPermit Electrical 1990-11-1
.
~ J:J"
SPRlaEL.O
ELECTRICAL PEIu!rr APPLICATION
Ci ty Job Number. q () I ~ 01-
3. COHPLI!TE FEE SCHEDULE BELOV
A. New Residen tial-Single or .
Hulti-Family per dwelling unit.
Service Included:
Items Cost ' Sum
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
'Each Hanuf'd Home or
Hodular Dvelling .~ 1().
Service'or Feeder $ 35.00
225 FIFTR STREET
,SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1~. LOCATION OF ,~STAL, LATION LL,
~6z.. S Com hf OJ rl n ve .
LEGAL DESCRIPTION
JOB DESCRIPTION
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is, suspenped for
180 days.
2. CONTRACTOR INSTALLATI9N ONLY B.
Electrical Contractor ~~, ~
Address PS-S W 2 c,t"~
Ci ty ~__ ~ Phone ~ VY -t5au
/ .
Supervisor License Number 9IfS-S
Expiration Date /0 /'J 1-
Constr Contr. Number (,,>/37
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or .Relocation:
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
J
~5
$ 35.00
$ 60.00
. $ 90.00
$130.00
$300.00'
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
10/ 'If
Signature of Supervising Electrician
X~.~-
---
Owners Name
Address
City Phone
01lNER INSTALLATION.
The installation is being made on
property ,I own which is not intended
for, sale. lease or ren t.
Owners Signature:
DATE: / (:7 - YO _
RECEln ,:' " 1><: (() 7". "-
RECEIVED BY: C{ ~ ['~
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00.
Over 401 to'600 amps $ 80.00
Over 600 amps or'1000 volts see "B" above
D. Branch Circuits
New; ~lteration or Extension Per Panel
Hiscellaneous (Service/feeder not, included)
-Each installation ,
Pump 'or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
One Ci rcuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$,50.00
$ 15.00
$ 36.00
$36.00
$ 36.00
I()~~
p. ,!J~
-1-1 n.!..),:::>