HomeMy WebLinkAboutPermit Electrical 1991-6-4
225 FIFTH STREET'
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. L~A'U9r! ~p I, NS~pN ' ,/1 /} ,-\ n
'-~ ) L.J l ro j\J.l J (,.fuLlY A.
, jJLE~~'mucf2fN (b8400
"d~(fft'
per~are non~~~erableand expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days. '
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor Ll \1QO~ FJ~(~
t s't S\t
~<l) d-Jdl
~
3 t.J J..3 S
, l1llib ~
Constr Contr. Number /){~- d~q (
Expiration Date /(0/(1/'
Address 1r~, u..~ I
, ,~i,ty 'f'(l8~e ,Phone
Supervisor License Number
" Expiration Date
Sign ,a,ture ,Of. supervi[j)ng,lectrician
"~",,, 'l,' .
" " )
. . ~ '
:r . '" .., .. ,
Owners Name' " ' .~ , '
.' Address'
City Phone
OVNER INSTALLATION
The installation is being, made on
property I .own which is not intended
, for sale, lease or rent.
Owners Signature:
~~~~:';-~~o~
(9).-
SPFlINGFIELD
I
ELECTRICAL PERMIT APPLICATION
City Job 'Number ,ql(){~
3.
COMPLETE PEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service ,Included:
Items Cost
Sum
1500 sq~ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
.t1
$ 35.00
.,~ '
jServic~s or feeders (10 ,Branch C~rcuits
included). Installation, 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 Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
,Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel $ 36.00
SUBTOTAL OF ABOVE QJ~c) ~.. ~S
5% State Surcharge J ; r 1 ""\
TOTAL C~I.o..rJ. ):
$ 36.00
$ 36.00
5.