HomeMy WebLinkAboutPermit Electrical 1991-1-23
225 ........ 1'1 STRERT
, 'SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: 726-3769 '
OFFICE: ' 726-3759
1. LOCATION OF INSTALLATION,
'i..J?;(~ r:::fJY5!J+f.1,o... Dr
LEGAL DESCRIPTION
I'i? ()ZOC) 2.1 n 1'72/0
JOB DESCRIPTION,
Sr''R-o.
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 f2 t'VjV\oIJs S/fC.
Address 27'82. c.eV\~o.-t 6) lid,
Ci ty S-U0eNL ,Phone' 343 -7297
(,
Supervisor License Number Z620..s
:' Expiration Date (0 -:7/
Constr Contr. Number /7z-!52-
Expiration Date /0 '7/
.Si~ture of S~ising Electrician
~d/~~h '
""f!ers' Name =~ (tp "cJ& V ~
Addr~ss '
qty
Phone
,OWER INSTALLATION
The installation is being, made on
property I own which is not, intended
for sale, lease or rent.
Owners Signature:
" DATE:_ j- ?,...?i -'/ /
, Ilt..."'~n I: I Cf../ 7tii
RECEIVED BY: 'Lu~
I
ELECTRICAL PERHIT APPLICATION
, City Job Number
Qo/z61
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
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 2'~. 0() ,
,$ 15.00 ' '
$ 35.00
B. Services or Feeders (10 Branch'Circuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
60l'amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 35.00
201 amps to 400 amps, $,40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
,Two ,to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$15.00
E~ Miscellaneous (Service/feeder not included) "
-Each installation
Pump or irrigation,
Sign/Outline Lighting
, Signal Circuit or
limited,energy panel
$ 36.00
$ 36.00 '
,$ 36.00
5. SUBTOTAL OF ABOVE '
5% State Surcharge
TOTAL
65,00
<f. 25
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