HomeMy WebLinkAboutPermit Electrical 1991-9-10 (2)
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~15o ''f(,/Jlrlf't '.' U1-..>
,
LEGAL DESCRIPTION
JOB DESCRIPTION
.
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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 Contractor4C1 PDDl'tiut 'j~'
Address P,D. W. /4-'i?'J-.
I
C~~pf\./irI~~'oDrL) Phone 14/-1/)...3 to
Supervisor License Number ~hS
Expiration Date /O-/-q'J.....
Constr Contr. Number O.1'6t./-q
Expiration Date q - / - q 'J-.>
Signature of Supervising Electrician
Cl~LcrJ~ ..
Owners Name. (0 ill illo I -Il.b..UJp.
Address LI 50 'if l\ II r\. (l '; 11= 3:1-.
City . Phone'7U-115Q
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: &:7-/&>-"7/
RECEIPT #: ? P2 *'L</
RECEIVED BY: /,'-!_/"./ .
s."rIlNGFIELD
~
ELECTRICAL PERMIT APPLg;AT~ON~
Ci ty Job Numb~ // C) N .)
L ---
COMPLETE FEE SCHEDULE BELOI/
3.
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
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
Relocation:
$ 85.00
$ 15.00
$ 40.00
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
60l amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
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 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 35'.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
~, ':$- 0.12
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