HomeMy WebLinkAboutPermit Electrical 1991-4-18
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225 FIrfH STREET
, SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: '726-3759
ELECTRIeAL PERMIT APPLleATION
Ci ty Job Number q I ~ :)72--
3.
eOHPLETE FEE SeHEDULE BELOY
1. LOeATION OF INSTALLATION
3zCf 0 C0)/V\.,~v-{; 0'\_,,,(
LEGAL DESCRIPTION
A. New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
Items
eost
Sum
JOB DESCRIPTION
--I--e/ffI f) _ ./ 1, f' /'
I
Permits are non-transferable and expire
if, work is not started within,18Qdays,
of issuance or if work is suspended for
180 days.
1500 sq;ft. or less
Each additional 500
,sq. ft or portion
thereof
" " , Each Manuf'd, Home or u
Modular Dwelling
Service or Feeder
$ 85.0.0
$ 15.00.
$ 35.00
2. CONTRACTOR INSTALLATION ONLY
Electrical eontracto;::-~c.l, (Lp&tuuf
Address 'z, 7 c{ z.. f-/-o (/vlSt- l""
B.
Services or Feeders (10 Branch eircuits
included). Installation, Alterations
or Relocation:
Ci ty
Phone
10.0. 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~OO
$ 90.00
$130.00 ,
$300~00
$ 35.00
Supervisor License Number
Expiration Date
e. Temporary Services or Feeders
eonstr eontr. Number Installation, Alteration or Relocat~on
" '.~
Expira tion,Da te....,.__. .,.", ",. ....'uu..,,_. u' ""',-m.m.200ampsor-.less _..,.._.u,[." $..35 .00,37,,-.--.--,
" . , ." , . ., ',. ..,,201 amps _.t.o.ACo. amps._____:_____.$ .4.0..0.0...._.. "._______n...
Signature of Supervising Electrician Over 401 to 600 amps $ 80.00 '
Over 600 amps or 10.00 volts see "B" above
-." "u~~ne~'s"~~~~ ~ilA rJi,fiifJka;+--'" D~'Brancheircuits" -:.- -. ~. '"
Address ?7 Lf u H-ttv J~?3- iAIl '
ei ty spfr ok Phone 10'4 033z..
New, Alteration or Extension Per Panel
OVNER INSTALLATION
One eircuit
Two to ten eircuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$
15.00
The installation is being made on E. Miscellaneous (Service/feeder not included)
property I own which not intended -Each installation
for sale, I eor~ nt.Pump or irrigation
/', ' Sign/Outline Lighting
, /.
i >llt: /" Signal eircui t or
X . <<1'4' /' A . limited energy panel $ 36: 00
-.--.--"--DA~.::,~ - '~q'~/W::':-Zf7~::=::-~~=-~~~~~-=='=-'=--=--~ --- 5..____ ~~~~~~u~~~~~~~---.---u-._----?:tf-if,..-,----..,- '. m'_'_
.,... - -- - .
.._,. 'RE IPTut: --{"I'/ C; p' 'u. ,. -, - .'.-,.-....- -----TOTAI;-n----------...----------.--~~-c0.-.7'~.-.-'---..."."..
, . -- ,.. RECEIVED BY:'- (AA~
$ 36.0.0.
$36.00.