HomeMy WebLinkAboutPermit Electrical 1990-9-18 (2)
225 rH>u STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: . 726-3769.
OFFICE: 726-3759
ELECTRICAL PERHIT APPLICATION
City Job Number q D II ~3
3.COKPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
2-=1(O(l VI) 0< Vl:,> I f/l
A~ New Residential-Single. or
Multi-Family per dwelling unit.
.Service Included:
LEGAL DESCRIPTION
1700 ?)In I} h t.J7OV
. Items Cost
Suln
JOB DESptIPTION
J Y+-el/ld iJ!/1.f) Ci r('./A J'+
1500 sq.ft. or less
Each additional 500
sq~ ft or .portion.
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
Electrical Contractor
Address
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
City
Phone
Supervisor License Number
Expiration Date
$ 35.00
$ 60.00
$ 80.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
.Constr Contr. Number
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 vol ts see "B" above
Expiration Date
Signature of Supervising Electrician
D. Branch Circuits
. OllNllR INSTALLATION
Name UOY1 oJd 5mjSrJ ~ II
Address 2;;lJ,,() Du l:>el'l ~ ~
CitySf r5 V\ jH- Q {oj Phone 7 t.f to ,3b 7.;:;
The installation is being made on
property I own which is not intended
for sale., lease or ren to
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
.Sign/Outline Lighting
SignalCircui t or .
limited.energy panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
E.
Owners Signature:
o h"Y'- -d'A-'7A-/J~
~ATi~--q=-Tf:'jn
RECEIPT I: ik',:z,/'2--
RECEIVED BY: i I~
.5;
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
-1-
$ 35.00 3t).cD
$ 50.00
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
35.00
/.75
....a,.;,.7C;