HomeMy WebLinkAboutPermit Electrical 1991-6-19
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
, INSPECTION REQUEST: 726-3769
OPFlCE:726-3759
ELECTRICAL PERMIT APPLICATION
Ci ty Job NumberC{' \ DS-rt
3. ,COMPLETE FEE SCHEDULE BELOV
, \
L~~O~.Fl~~~oQQw ,
\~r)~3~~ICJ~O
~pJ;~~~ldddJ
PEX~ts are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
1.
A. New Residential-SJngle or
Multi-Family per' dwelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY
,
I
.1500 s'q . ft. qr less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
. -Items
Cost
Sum
$ 85.00
$ 15.00
$ 35.00
Electrical Contractor
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
Address
City
Phone
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. Number
C. Temporary Services or Feeders
,Installation, Alteration or Relocation
Expiration Date
, ture of,s~rV,iSing Electrician
'.D~ V)~k~ "
Owners Name~.~ ~ ~~~~hot") D.
, Address l\\.o\:f\' ( , , ' ~ iliL
City ~~f\6, PhoneI2-lD"lR.~lf)
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
\ .... Owner. Signature:
,~' ,
DA~~~------(-O-~ "-rt-r:---~--------
RECKIPT .:\~ C9~
RECEIVED BY: (y 1J.:' '- C '
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps $ ,80.00
Over 600 amps ~r 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
'J.. $ 50. 00 ro..
/
$ 15.00
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36. '00
$ 36.00
$ 36.00
50
&:~