HomeMy WebLinkAboutPermit Electrical 1991-10-21
2, CONTRACTOR INSTALLATION ONLY B. ,Services or Feeders
. ; ~~~ \\f:t. 'I~stallation, Alterations or
Ele,ctrical contractor\':-"",\,\ J~ ~ 'Ti:\t:Uvelocation: ,
Addr~ss1!.ctt9__ "fi~f\\ [\ . 200 amps or less'
~'n " "201 amps to 400 amps
City J \()_ 'Phone 401 amps to 600 amps
, , ~ 601 amps to 1000 amps
Supervisor cense Number ~~~l ,ff\~ Over 1000 amps/volts
,.,..." \ ~n - , Reconnect Only
Expiration Date l ), -:-\.L- .
, . ,t _ A-rJ2:::::: - C.
Constr Contr. Number_Ul=t:__l::r _ J. .
Expiration Date ,~/it2./-q ~
S gnature of Supervising Electrician
f1~ _
Owners Name
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769'
OFFICE: 726-3759
1. ~f)~F ~:t}"10N /
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vOB DESORI,PTI N M .>
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Permits are non-tr ~fer ~ ~nd expire'
if work is not started'wit~n 180 days
,of issuance or if work is. suspended for
'180 days,
City Phone
OVNER INSTALLATION
The installation is being made on E.
'property I own which is not intended
,
for sale, lease or rent,
Owners Signature:
~lD.cil~CII -;-:;;:::i, 5.
REGEl PT #: ('{) I l
RECEIVED BY: t L \ IN J .
'-'T
~p."
New Residential-Single or ~,,:
Multi-Family per dwelling unit. '
Service Included:
Items Cos t Sum
3.
COMPLETE FEE SCHEDULE BELOV
A,
,1000 sq. ft. or less
,Each additional 500
.~. 'ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 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'Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or, 1000
D.
Branch Circuits
New, Alteration or
volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Extension Per Panel
, $ 35.00 .?;S
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
'Circuit or with Service
or Feeder Permit
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL'
$
2.00
not included)
$
$
$
$
1~5.cV
[. '-1'-.
,,~ (L7 :J'""'-.
40.00
40.00
20.00
36.00
<1
.'