HomeMy WebLinkAboutPermit Electrical 1991-12-12
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number 9 J J 1///'/
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
;;S-52 J<A:r~;t?JAt~
LEGAL DESCRIPTION
17-.0"2.-30-0<::>, 07l./C>2
JOB DESCRIPTION
.o:?~""'/.c6"" C:##~6 - ~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.
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
200 amps or less
201 amps to 400 amps ~
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor A'J?c .G> "=L../ Relocation:
~
Expiration Date / 2-/~. 9/
City
Phone
Address A'!>7~?? jlw~ ~q .,::;;,;;;;
Ci ty e V?-GYG Phone q7~L?~
Supervisor License Number 2c>-9,g. <<:.
Expiration Date /2-/-'72
Constr Contr. Number O/.).e:.~':?
O\INER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
/ '2-/~'~ /
~797
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$ 50.00
$ 60.00 ~..~
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
volts
Si~~of Supervising Electrician
).( /YLL-C:n1-/ A ~
, . . D. Branch Circui ts
Owners Name~N'K/(M..LG..,,6.p/L.i.E W~-
New, Alteration
Address -::3~52 ff A.7'K&:t/:"/~
$ 40.00
$ 55.00
$ 80.00
see "B"
above
or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
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
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-:;'..00
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