HomeMy WebLinkAboutPermit Electrical 1991-8-12
~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: , 726-3759
i.. LOCATION OF INSTALLATI~ /
7t;75Ce..NleN / Z!.- '
LEGAL DESCRIPTION
17-~'3~-:<C-Y-:r O.!E/~
JOB DESCRIPTION
Re.LtCA TfL CiJ.-cc.(:tTS.
Permits are non-transferable and expire
if workis'not started within 180 days
of issuance or if work is, suspen~ed for
180 days.
2. CONTRACTOR INSTALLATI9N ONLY
Electrical Contractor
Address . .<6 ~rzt)-O
Ci ty 4/' -F 01
).. 1fJ,-,t e-:e;.
J/1/f.l4rC" '4 ~/
Phone ../72-.6 - ,~ q ?
, .
Supervisor License Number '2 ~ -->
Expiration Da'te 1-0. - / - 7 2-
Constr Contr. Number '3 V ~ e 7
Expiration Date. 3"/Z~ / g.~
I
Signature of Supervising Electrician
,-C."" ~
. ,/ D.
Owners Name-L2.p A/N; ~ tfl/i 6'1LK.'
Address
City
Phone
. mINER INS:I'ALLATION.
The installation is being made on
prope~ty I' own which is n6t iritended
fQr sale, lease or rent.
ELECTRICALPERHIT APPLI~ATION
Ci ty Job Number. 9 / ~ 93C;;
3. .COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single ot
Multi-Family per dwelling unit.
Service Included:
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Items . 'Cost
Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (lOBranch CirciJi ts.
included). Installation, Alterations
or.Relocation:
5. ' SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 60.00
$ 90.00
$130.00
$300,00
$ 35.00
C.
Temporary Services or Feeders
'Installation, Alteration or Relocation
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, !lteration or Extension Per Panel
~.
$ 35.00 ?~".~
$,50.00 '
t(
~..".~
$ ,i-S.OO .
& .s-c>
'-
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
200, amps or less.'
201 amps to 400 amps
Over 401 to' 600 amps'
Over 600 amps or:1000volts
Branch Circuits
One Circuit
, ,
. Two to -ten. Circuits
Each Addt'l ten e~
pertioc . ."Qreef
E. Miscellaneous (Service/feed~r not inclUded)
-Each installation '
Pump or irrigation' $ 36.00
Sign/butline Lighting $ 36.00,
Signal, Circuit or
limited energy panel $ 36.00
Ovners Signature:
---------------------------------------
DATE: ,B- / =:? -~/
RECEIPT 4: -==?~9 7t:;;; ___ "
RECEIVED BY:~ L___~_" ~~_......------,
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