HomeMy WebLinkAboutPermit Electrical 1990-10-1
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: .726-3769
OFFICE: 726-3759
1.4~~~ ~cr~I~~ j
, LEGAL DESCRIPTION ...
\ f\ 02 ~ A?J2{ (~44.1 '7
1\ JOB DE~p!ION: L .
ry- / n l!.Ul1'Ii.u.J'~'
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is, suspenged for
180 days. .
2. CONTRACTOR INSTALLATI9N ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number'
Expiration Da'te'
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners ~l~ rho k~
Address}V\Q_~ ~~~
City 2:Ocd Phone
\ "
OWER INSTALLATION.
The installation is being made on
property! own which is not intended
for sale, lease or rent.
Ovners Signature:
'LI~A~~~~~~~(')---------
RECEIPT i: '. "JErt01.-
RECEIVED .BY: ~1['(() #
')
ELECTRICAL PERMIT APPLICATION
City Job Number~(,)/~~
3. COHPLETE PEE SCHEDULE BELO~
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
. thereof .. $ 15.00
Each Manuf'd Home or.
Modular Dwelling
Service or Feeder $ 35.00
"'\
. B.Services 0.1:- Feeders (10 Branch Circuits
included). In~tallation, 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
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00,
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relo.cation
D.
200 amps .or less. 'I
201 amps to 400 amps
Over 401 to'600 amps
.Over 600 amps or'1000 volts
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B"
above.
New,J\lteration or Extension Per Panel
One Circuit
Two to ten.Circuits
Each Addt'l ten or
portion thereof
E.
5.
I
$ 35.00
$ 50.00 50
$ 15.00
Miscellaneous. (Service/feeder
-Each installation " .
, Pump or irrigation
Sign/Outline Lighting
Signal Circuit or .
~~m~anel
SUBTOTAL OF ABOVE
5% State_Surcharge
TOTAL .
not included)
$ 36.00
$ 36.00.
$ 36.00
~~ SO. .
lon.oO .".." !J.- ":;)
-4 2Q (O\.~\'f~y
tp:.J...,"')O. . . .