HomeMy WebLinkAboutPermit Electrical 1991-12-23
225 FIFTH STREET .
.SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726~3759
1.
"
LOCATION OF I~STALLATIpN .
:z-.3z 7C'..-1 f,aiV' V (,{ t> _
LEGltJ,.~SCRIPTION
t 70'/&( I z- 37JJ 0-0
JOB DESCRIPTION
, '
'bVv. e iVC'\A (-+--
Permits are non-transferable and expire
if vork is not started vithin 180 days
of issuance or if vorkis. suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical ContractorCCUVlP!Jt{! 6(t{:-
Address rO. 130'/ 2ft; /. '4
Ci ty NdJ+&VVi ({ e.- Phone -iJi. 070S
Supervisor License Number ~ro G 0 S
/0(((1-:/
Expiration Date
Constr Contr. Number :g;;e-:?7/1Cf5
Expiration Date -tf'; /?7t5/2l//'fZ--
Signature of Supervising Electrician
#L- &~.fjj
.... V ,I
Ovners Name (I ftvtts !..j{Jl >'" ;
Add. r2Z' _ 2-2~ { c.l-z~v t/ LA- f:, Le"
CityJ(J'PLd Phone 17'-177
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
--------~--1------------~--------------
DATE: 12-. Z/3 1 q / r.. ....
RECEIPT jj: ?;, '::>;8'/
RECEIVED BY: ('L~
\.
City Job Number
3.
, . .
COMPLETE FEE SCHEDULE BELOV
A.
Nev Residential-Single or
Multi-Family per d~elling unit.
Service Included:
100q sq. ft. or less
Each additional 500
sq. ft ~r portion
thereof .
Each Manuf'd Home or
Modular Dvelling
Se~vice or Feeder
. Items Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation: ,. ,
B.
200 amps or less
201 amps to 400 amps
401 amps to 600 a~ps
601 amps to 1000 amps
Over 1000 amps/volts
R.econnect Only
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit I
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 ~,D[)
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
55-a?
1JJJ,1'1!:;>
3(,,-70