HomeMy WebLinkAboutPermit Electrical 1991-3-26
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
a,..",,,,,) /11"''''or
LEGAL DESCRIPTION
'171 k'..v-s <- Wd-v
/
JOB DESCRIPTION
WI () J..... L
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days,
I
2. CONTRACTOR INSTALLATION ONLY
Ii " E"/ e "I,.; c
Electrical Contractor
Address P.O. Bo~ /2'JYJ
.Ci ty
5 .../~ ...
327- ?SI7
Phone
Supervisor License Number
:J '/().:J. S
Expiration Date /01 n/ /92
( /
. Constr Contr. Number 'IV?9S-
Expiration Date
~I /3/'l~
Signature of Supervising Electrician
~.-,/~~
/ OIINER INSTALLATION
Name
Address
City
Phone
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
ili:;~<,\;~c;q~~-,-:;~~::~-----
RECEIVED BY: K t X. )
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ELECTRICAL PERKIT APPLICATION
City Job Number
3. COMPLETE FEE SCHEDULE BELOII
A. N~w Residential-Single or
Multi-Family per dwelling
Service Included:
It ems
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
$ 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 6DD amps
601 amps to 1000 amps
Over 1000 amps/volts --L--
Reconnect Only
$ 35,00 ._
$ 60,00 or S'I(). '"
$ 80,00
$130,00
$300,00 ~ 0'0. I"J
$ 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
$ 35.00
$ 40,00
$ 80,00
volts see liB"
(--
I
I
above
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D.
Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35,00
9. $ 50.00 -,~g......
$ 15,00
E. Miscellaneous (Service/feeder not included)
-Each installation.
Pump or irrigation $ 36,00 J/
Sign/Outline Lighting .:z $ 36,00 "72.....
Signal Circuit or
.limited energy panel $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
/3(..;1_ 0-0
(. F. 1'0
II"/'Il(). In
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