HomeMy WebLinkAboutPermit Electrical 1-9-20
225 FIFTH STREET
,SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
City Job Number
C\\t \\()
1.
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi~Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or.less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 1-5.00
Each Manuf'd ~ome or
Modular Dwelling
Service or Feeder $ 40.00
LOCATION OF INSTALLATION,A_
:ut .3 q , ~1 .s-\nvr-
\Jfrf~~\O\\N D ~~ DO
JO!l DESCRIPTIO,~' '
.t2Lo/V \ tt-, . 100'1.. (t/ .~
,
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
Electrical Contractor
B.Services or Feeders
Installation, Alterations or
Reloca,tion:
Address
City
Phone
Supervisor License Number
Expiration Date
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
v"'$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
()
50~
Constr Contr. Number
C. ,Temporary 'Services or Feeders
Installation, Alteration or Relocation
Expiration Date. -
Signature of Supervising Electrician
Owners Nanie l-e s \, t.. ~ Qrt1v1- CA t! R i-d D.
Address d \.k3 9 :-r ~
Ci ty~~ rJ ()'(( Phone 1L{1-732t$
, "-" f
OVNER INSTALLATION
, The installation is being m~de on
property I own which is not intended
for sale, lease or rent.
Owners Signature: '
~lrititu _~~ CJl:]
-~~---------~-~--~~~-~~-~----~-------
DATE: 1- ~ ")..() --0\ I . '
RECEIPT #:' _ 2...13c"Q
RECEIVED BY: _ {)o!aJ-Y"
.!'"
'..
200 amps or less
,201 amps to '400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
I, '
$ 40.00
$ 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
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
.,J-
$ 40.00
$40.00
$ 20.00
$ 36.00
''-O~
b '
'?_ '70
~ f' 2.. i;;.D