HomeMy WebLinkAboutPermit Electrical 1991-12-30
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
~ ' .1~~j:n. ~Installation, Alterations or
Electrical Contracto~ill.\\\:\I)., ~ ~ Relocation:, ,." '
Address RT-f~ W ~ 200 amps or less'
C' ,:>.A A \-^?'\ 201 amps to 400 amps
Ci ty C-t n p 110 ~Phone CJ\'-t- t<)J 401 amps to 600 amps
'(\ n A c... c::: 601 amps to 1000 amps
Supervisor 'f:lJ.cense Number .\~ U '- ) Over 1000 amps/vol ts
Reconnect Only
r
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LO~?J)S~N~('fra>ffiA6(
,
\~fJ~PY~, () ~ 9JX~
./ A.
',:,~~ ~~El~.:.f ~:?~
if'work'is not st r ed'within 180 days
,of issuance or if ork is suspended for
180 days.
\~.~~
Expiration Date
Constr Contr. Number -L-o~ \ ~f)
\~.O\n
- ,
Expiration Date
~gnature of Supervising Electrician
,,~\ ~ ~~
I'r: \' \ D.
Uwners Nallie ,.:J;\\ Cl Q t- },,~ <U\!~
Address ~\)?4 \\\~)
City~~~_ Phone-1c9.ln .~nJ
OVNER\I~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~---~----l-~~~~~~'~~==---
RECEIPT I: , _ ?fq. \ ( )
RECEIVED BY: 01)AJ_'()- Y -
SI..IINGr-If1LD
City Job Number
3.
COMPLETE FEE SCBEDULE,BELOV
~ew,Residential-Single or
Multi-Family ,per dwelling
Service Included: '
Items
." :
1000 sq.ft. or less
Each additional 500
sq.ft or, portion
thereof '
Each Manuf'd Home or
Modular Dwelling
Service' or Feeder
C.
"
unit;, .M
.. cost'T
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00,
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders
Installation, Alteration or,Re10cation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or,1000
Branch Circuits
volts
$ 40.00
$ 55.00
$ 80.00
see "8"
above
New, Alteration or Extension Per Panel
MisceU'aneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Liniited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
(
$ 35.00 ~c:;
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
86.oU
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