HomeMy WebLinkAboutPermit Electrical 1990-9-12
fVlOX'i WI lvbs'S -own et/
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 '
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1, LOCATION O~INSTALLATION
2..3 2. ~ iC7~ ~
LEGAL DESCRIPTION ,
17() -:J,7 17-'71 D7.Db'l'J
J'a~~~~~~ +~~,
Permits are non-transferable and expire
if work is not started ,within 180 days
of issuance or if work is suspended for
180 days.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor WE /UJ.J/O ELEcT
Addressf5 h.5" LV .2..J
City..!f...uq e...<..
Phone-lJ KS--J'1t' 3 '1
Supervisor License Number .25"& t!J S
Expiration Date 10-/-'12...
Constr Contr. Number 20 - 2.l S-C
Expiration Date
/e> - /- Cfo
S' ature of Supervisin Electrician,
;nJ h(" I
OVNER INSTALLATION
Name
Address
Ci ty
Phone
The installation is being made on
'property I own which is not intended
for sale, lease or rent.
Owners Signature:
,
~~~~~--~=~-1--:q-O----------------------
RECEIFT #:''' l'i-7fn{P
RECEIVED BY: n "^~
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9 () / J 3G
3, ' COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single or
Mul ti-Family per dwelling uni t.
Service Included:
It ems Cos t
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
$ 35.00
B. Services or Feeders (10 Branch Circuits
,
included), Installation, Alterations
or Relocation:
100 amps or 'le~s
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 ~U
$ 80.00
$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 ~OO amps
Over 600 amps cor 1000 'volts
$ 35.00
$ 40.00
$ 80.00
see ItB" above
D.
Branch Circuits
New, Alteration ,or Extension Per Panel
One Circuit
Two to ten Circuits
Each Add t' 1 ten or',
portion thereof
$ 35.00
$ 50.00
$ 15.00
,E, Miscellaneous (Service/feeder not included)
-:-Each installation,
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
, 5, SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
(oO.QO
-=5.00
t" 7,. Ol)