HomeMy WebLinkAboutPermit Electrical 1991-9-10
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
0, ~ c.. Installation, Alterations, or
Elec trical Con trac tor tV\.c...k.........~,,"'" (IJ.y f(..,.-:.{ -f.,vc....Reloca t ion:
Address 1?cJ.6<?w Ilr ' 200 amps or less ' /$ 50.00 ~'() ""..9-
201 amps to 400 amps. $ 60~00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
~econn~ct Only $ 40.00
~
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
"(~J '
'/Y7/ ~17:...e..v' j" .".:/
LEGAL DESCRIPTION
5 ;:?!-Fcf). O-r Q' I J (),3 d s: 3,"3 - ) ) ~ 00
:0.:'
-lOB DES~IPT;qN .
5~"-,/J\c~ {~/O-L~
"\.
'Permits are non-transferable. and expire
if~ork is not started ~ithin 180 days
of issuance orif ~ork is suspended for
180 days.
City 11.)6(i-~\)1-1\....,
. . I
Phone ? /(..-'1 c) yJ
Supervisor License Numbe~
33 /(, .3
Expiration Date. .10..../ - f'Z-- '
Constr Contr. Number 1._<60";
Expiration Date
? -13~ 0;:3
Signature of Supervising Electrician
~tf)~~ ' ' ,
O~ners Nani.e It? /L C:c."17
Address . / r( 79 (2~ f.. '-^-, '.:./
,Ci ty c;/.{!.J. Phone 7J1i~ 1"(0 j/'
,
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease ot rent.
Owners Signatur~:
DATE:
RECEIPT *:
RECEIVED BY:
Of-If) ..q I
.? I ::l~c,
0A
~
City Job Number
o I J O{nb
3. COMPLETE FEE SCHEDULE BELOV
A.
Ne~ Resident~al-Single or
Multi-Family per d~elling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq.ft or portion
thereof
Each Manuf'd Home or
Modular D~elling
Service or Feeder
$ 85.00
$ 15.00 '
$ 40.00
C. Temporary Services or Feeders
InStallation, Alteraticin or Relocation
200 amps or less
201 amps to,400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
,D.
Branch Circuits
Ne~, Alteration or txtensionPer Panel
One Circuit
Each Additional
Circuit or ~ith Service
. or ,Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump Qrirrigatio~ $ 40.00
Sign/Outlihe Lighting $ 40.00
Limited Energy/Res $ 20.00
. ,timited Energy/Comm $ 36.00
5. SUBTOTAL OF-ABOVE
'.5% State'Surcharge
TOTAL
-.50 to;:"",
2$-
~/~~.