HomeMy WebLinkAboutPermit Electrical 1991-12-30
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
<J!fI? ,)f~u-S.5 I~er
. LEGAL DESCRIPTION . ' ..
/? ..B '3 -:z '2. -;2?>. c:> P'9 /~
JOB DESCRIPTION
Gte--=-/ ~ ,~P.
,
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 Contr~ctorB~~,)_,__"";G"r:~ .
I . -, _
Address-.7,~$Ol<' ;:q~'/~r /3'<"",~/')
, ,
Ci ty ~ ~Phone~/~<'9 /
Supervisor. License Number -:? f~<;,S '
Expiration Date /0";-'92
Constr Contr. Number ?~ 4'9 '/
Expiration Date
/ - /0 """2...
Si~n,ture of ~:r~viSing Electrician
JllJh / 1:Ij(,..
ow;;;; Naml D.r L e=5; / H.:::-
~ress ~SI''''''o C'............-v/~ t:"q ,
?~h'I'c;- 5~ .
Ci ty LA'- , Phone
OVNER 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:
/'A' ~",,'''9/
~ ,-/",tT
/2:'
.;~
, . ,~ '
.'.
?'
Ci ty Job Number '9///Rt/'
COHPLETE FEE SCRE~ULE BELOV
3.
1<
New Residential-Single or
Multi~Family per dwelling unit.
Service In'cluded :
A.
. Items Cos t
1000 sq.ft. or less
,Each additional 500
sq. 'ft or ,portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service' or Feeder
B.
Services or Feeders
Installation, Alterations or
Relo~ation: .
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
C.
Sum
$ 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
...--
7"0
$ 40.00
$ 55.00
$ 80.00
see "8"
above
volts
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci-rcu it
,Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35,00
$ 2.00
not included)
$
$
$
$
V~.~
7-~
~2; ...-c>
40,00
40,00
20,00
36.00