HomeMy WebLinkAboutPermit Electrical 1991-8-12
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OPFICE: ,726-3759
'1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
/tP,,l?2 nt:..::2.4 '2.480
JOB DESCRIPTION
.
----N?W S.? A'C7R, l'" 4N~
'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~~_~
, Address 4232.2.. /JIcYht/2//:/Jpr
Ci ty .~#/..aih.&/J Phone...&2r-; - 55'42-
Supervisor License Number J ~ 7/ S
Expiration Date ,/~~~ 2-
Constr Contr. Number )~ 2.4-10
Expiration Date IJho/92.-
Si7Jdat of ~ervising Electrician
0l'~ Y/?~
Y \.1 - -
I
"Owners Name
Address
City Phone
OIINER INSTALLATION
The installation is being, made on
property, I own which is not intenaed
for sale, lease or rent.
Owners Signature:
bog9. 48
DATE:_ _ g, -:-/2 -?I
,'''''''Uri ,: 'Z/9'jq 7
RECEIVED BY: ,c~~ ..
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9/ /] t::; 0 _ ~
,
3.
COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
Sum
$ 85. 00 ...eco:,<9-.::>
1500 sq; ft. or less c;--- =---'
Each additional 500
sq. ft or portion
thereof / $ 15.00 1'500
Each Manuf'd Home or
Hodular Dwelling
Service or Feeder $ 35.00
B.
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps $ 60.00
401 amps to 600 amps $ '.90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 35.00
C.
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
:s5,~
____ $ 35.00
$ 40.00
$ 80.00
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
" '..' -Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)
5.
$ 36.00
$ 36.00
$ 36.00
135&f)
/.. '/5
Jd. 7.75'
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL