HomeMy WebLinkAboutPermit Electrical 1991-10-8
225 FIFTII STREET
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
I
1. LOCATION OF INSTALLATION
,0Y'7" ZbA'~AI' -'5r .
LEGAL DESCRIPTION
/ee::>~ -.:::>6-/3.0'9/0'0
,
JOB DESCRIPTION ~
4~Y/CE 7b'?~P.
,
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
Address
City
. Phone
Supervisor License Number
Expiration Date
1
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners NalliekVhY ~~~-!'.,...
Address. ~~~ .
City ~?~
Phone 7',17-7"/3/
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
;t:Yh~
_..:_-------_!:-
DATE: /L?~:f?J17 {
RECEIPT I: . "</S'.2~
RECEIVED BY: ",....--~
"
-#~...e"
v ./
SPllINGFlliLO
City Job Number ~~.(/~
3. COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
.Each additional 500
sq. 'ft or portion
thereof $ 15.00
Each Hanuf'd Home or
Modular.Dwelling
Service or Feeder $.40.00
B. . Services or Feeders
.Installation, Alterations or
Relocation:
200 amps or less / $ 50.00 .szz. -
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
Reconnect Only $ 40.00
C. 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 volts
$ 40.00
$ 55.00
$ 80.00
see liB"
above .
D. . Branch Circuits
New, Alteration or Extension Per Panel
One Circui t . $ 35.00
. Each Additional
Circuit or with Service
'or Feeder Permit ~. $ 2.00 /a--'"
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Lilliited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5.
6~-
~--~
~-=?-e>
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
>