HomeMy WebLinkAboutPermit Electrical 1991-10-1
225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number? // / V 7
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
7~,.tJ 57:
, LEGAL DESCRp:~:ION ,.... ,,7'\
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JOB DESCRIPTI~
?~E=.7 r,15-/I"? bP/c~/i'.
Permits are non-transferable and expire
if work is not started within 180.days
of issuance 01' if work is suspended for
.180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor l~, IdeAS
Address.:29.3 111-e7V~" e..
Ci ty c: <c.9e..Je.
I
<;5'5- () 9;u..
2970 S
Phone
Supervisor License Number
Expiration Date / tt? - /':')>:2.
Constr Contr. Number (!) C/:z. fib
Expiration Date /;;2.. - / 0 ~ p /
Signature of Supervising Electrician
~L.~~...
Owners Name
Address
. Ci ty Phone
OVNER INSTALLATION
. The installation. is being made on
property I own which is not intended
for sale, lease 01' rent.
Owners Signature:
---------------------------------------
DATE: J:fJ.,/-q/
RECEIPT 1I: ~/ 7'b'4_
RECEIVED BYV./............./?"'/-~./~
rF' '/'
'.
3. COMPLETE FEE SCHEDULE BELOIl
New Residential-Single 01'
Multi-Family pel' dwelling unit.
Service Included:
A.
1000 sq. ft. 01' less
Each additional 500
sq. ft 01' portion
thereof,
Each Manuf'd Home 01'
Modular Dwelling
Service or.Feeder
B. .Services 01' Feeders
Installation, Alterations 01'
~~~. Relocation:
200 amps 01' less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services 01' Feeders
Installation, Alteration 01' Relocation
200 amps. 01' less $ 40.00
201 ,amps to 400 amps $ 55.00
.. ",Over 401 to 600 amps $ 80.00
. Over. 600 amps 01' 1000 volts see "B" above
D. Branch Circuits
New, Alteration 01' Extension Pel' Panel
. One Circu it(./" $ 35. OO-=?:>"": <>0
Each'Additional
Circuit 01' with Service
. 01' Feeder Permi t $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge.
TOTAL
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