HomeMy WebLinkAboutPermit Electrical 1991-1-10
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225 Uh;' STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: ' 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION 'L
---1!l.!:LJ L (). u to 0.. .s tJ'l'.e.:
LEGAL DESCRIPTION '
1"1 {) "J? 111"\'- (') -z...(OOZ)
JOB DESCRIPTION, 'LJ. ____I..
tJpw 'iMN. l"lOl1'JUtfl. -.uJoUlR. .(~
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~t\c.; ~
J~(n'lJ\*
Address' ';L IS'),
City~,
Supervisor License
Phone 7L/fO- L./loSh
Number 3/43<'3
Expiration Date (0- \ -q:2
Constr Contr. Number 'RO-~l"7C ~
Expiration Date
If) -I -0'
Signature of Supervising Electrician
x
I '
il1!'l ~ ^
, v'.M.t\ INSTALLATION U
Name, ~?> h VI ~ I q VI d r0Yld
Address ,( 7 LII' Ct'0a vv- 95F-
City ~i=1~ ' Phone
The installation is being made on
property I own which 1's not intended
for sale, lease or rent.
OWners Signature:
-----------------
DATE: /'-to -q I
RECEIPT II: lL1i) i0'//
"'RECEIVED ,BY: II ,_,^.e-
'-~. .. '4'
.
ELECTRICAL PERHIT APPLICATION
City Job Number q I /V'')Z-z-. "
3. ,COMPLETE FEE S..<.u>uv..E BELOV
A; New Residentia1-Sing1~,or
Hu1 ti-Family per dwelling unit.
Service Included:
" Items Cost
Suln
1500 sq.ft. or less
Each addi~iona1 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 l
401'amps to 600 amps
601 amps to 1000 amps
'Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00 ~ao
$ 80.00'
$130.00
$300.00
$ 35.00
C.' Temporary Service~ or Feeders
Installation, Alteration or Relocation
200 amps 'or less, $ 35.00
201 a'mps to 400 amps $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps 'or, 1000 vol ts see liB" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Two to' ten Circuits $ 50.00
Each"Addt'l ten or'
portion thereof $ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation , $ 36.00
'Sign/Outline Lightin~ $ 36.00
,Signal :Circui t or '
limitedenergy'panel $ 36.00
, 5; , SUBTOTAL OF ABOVE & 0 : CO
5% State Surcharge -=<).60
TOTAL ---f--. "3.~ ,