Loading...
HomeMy WebLinkAboutPermit Electrical 1991-12-5 v SltflINGt:IELD --r_._............ 225 FIITO STREET 'SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 Ci ty Job Number '7'// /..e 2- OFFICE: 726-3759 LOCATION OF INSTALLATION ---.:::z....~ .D_;:q~f.c, "5r- LEGAL DESCRIPTION i8-cJ~"2 ""P. ~~"2- 1. 3. COHPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: . A. . Items Cost JOB DESCRIPTION 1000 sq.ft. or less /n~A.c..L. 7'.c::~~z:;~~ ~$/~,Jr~ach additional 500 sq. 'ft or portion thereof . Each.Manuf'd Home or Modular Dwelling Service or Feeder Permits are non-transferable and expire if work is not started within 180 days of issuance or if work is suspended for l80 days. 2. CONTRACTOR INSTALLATION ONLY Electrical Contractor.:! ~C; El~ .JJ-. Address ;:; I S7 oim Phone 7 'f(o ~ L/ &,S b City t;:;.o~ld f Supervisor License Number ~u.~~.~ Expiration Date /6-1 -q;:) C. Temporary Services or Feeders Installation, Alteration or. Relocation Constr Contr. Number -:In - ;:),/7 G Expiration Date J () -'J - q :::2 Signature of Supervising Electrician ~ih ~. .reJ"hO~f)fY"" Owners Name Address City Phone OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. , Owners Signature: DATE: ~c. -?: /<7'9/ RECEIPT jj: 'C:::>C:>,?-;:;;:~ RECEIVED BY: ~___~ -"7" B. Services' or 'Feeders Installation, Alterations or Relocation: 200 amps or less I 201 amps to 400 amps 401 amps to 600 amps 601 amps 'to 1000 amps Over 1000 amps/volts Reconnect Only 200 amps or less 20l amps to 400 amps Over 40l to 600 amps Over 600 amps' or.lOOO volts D. Branch Circuits Sum $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 ""'0_ -- $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel One Circuit $ 35.00 Each Additional Circuit or with Service or Feeder Permi t q' $ 2.00 ,g. ""- E. Miscellaneous (Service/feeder not included) -Each installation Pump or irrigation $ 40.00 Sign/Outline Lighting $ 40.00 Limited Energy/Res $ 20.00 Limited Energy/Comm $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL """"'-.,c> _~ "" -<=>. 2.~O ,GO. 90