HomeMy WebLinkAboutPermit Electrical 1991-1-18
S."CFIELO ..... ....
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
;
1Lt5Ir{)F t!:tld10N
LEGAL D~qu~ION . ,
Jf)()8Q't61 () COqOC)
JO!l-::DE~17~O!!'1 A ..., r. A I Y Jl Jfll?
,,\ t- J:::'.Jj)~ t7~U /L. ~-'1
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is. Suspended for
180 days.
1 ~ ,
2. CONTRACTOR INSTALLATION ONLY
Electrical Contrac~2()J~ 0.nvt:L
Address AC\'q\\n \)~\ 'rt~
City_r\ 'dV KlL Phone ~oC((~ C8tE
Supervisor Li~ense Number -1..5ln<i\S
lel. \.02-
Constr Contr. Number ~L\~\
q.?T).Q.\
Expiration ,Date
Expiration Date
ELECTRICAL PERKIT APPLICATION
~O\O~OA
1<
City Job Number
3.
COHPLETE FEE SCHEDULE BELOV
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
, Items Cost
Sum
'10*
A.
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof . $ 15.00
Each Hanuf'd Home or
Modular Dwelling
Service "or. Feeder $ 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 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
, j""""?;~'"i~i~'''id~
"l /. _7~~~
I o~ner~ Name _ \'\ f\~O J) \t )0 nd:!:llid D.
Address ~Wf) sAD.~1 0-1 o-r-d W
Ci tyJJJnUl 0 ___ Iphone ~~
~ALLATION
The installation is being made on
" property "I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~=--------G.1~:vrr--------
RECEIPT ,: ,.:Jf. ;. }'-\\ ~V\ .
RECEIVED .BY: "t/\)j\\\.) . .
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to' 600 amps $ 80.00
Over 600 amps or'lOOO volts see "B"
Branch Circuits
above
New, ~lteration 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 Lightin~'
Signal Circuit or
limited energy panel
not included)
$ 36.00
$ 36.00
$ 36.00
t\~Q=J
,.,. ' \:::-
--":""1'tC, '~
-!~d- \~ ~
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL