HomeMy WebLinkAboutPermit Electrical 1990-11-26
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SPRleElO ~........ ''''
..., j;:} II.
225 FIFtn STREET
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759'
1;. LOCATION O,!nINSTALLA'tION
/4-04- ihi.II.TY\~ )
LEGAL DESCRIPTION
'1I()07~~n_ 02-70C
ELECTRICAL'PERKrr'APPLICATION
Ci ty Job Number'
3. COMPLETE FEE SCHEDULE BELOIT '
A.
101 t.j~ ..
*
Ney Residential-Single or '
Mul ti-Family per dyelling uni t'.
Service Included:
,JOB DESqIPTIqN . . ~ 1500 sq.ft. or less
--L1'rl.~('UUlIllti ~ G1l.OJ . Each additional 500 ,
U ' sq. ft or portion
Permi ts are non-transferable and expire thereof . .'
if york is not started yithin 180 days Each Manuf'd Home or
of fssuance or if york is, suspen!led for Hodular Dvelling
'180 days. Service'or Feeder
2. CONTRACTOR INSTALLATI~N ONLY B.
Electrical ~ontractor.f..~.3 Plo..f't~.f\ 1~'
Addms_p.O, iusj. rJ g~
Ci ty,J 11 ill; . Phone
~li.
, , Expiration Date
1141-1/),%
Ii-, ~ 10 S
10 - l..=.V-
o 3 8 +q
q-(:...q/,.
Supervisor License Number
Constr Contr. Number.
Expiration Date
?f;:ffcaSing Electri ~/ '
. " . D.
Ovners Name~J .
Address I II ~,I -..IJ_ ' 'rUJlI ".I ,-' ,
~'.''1..
. ~ .
City~rl~ Phone'74h-6'/81-
01lNER INSTALLATION'
The installation is being made on
property'I ovn vhich is not intended
for. sale, lease or rent.
Items
Cost
'Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or .Relocation:
~~~;~-/7 -2f?~.9()-----
RECEln .: t 'W-I <-r
RECEIVED BY: (.L,~
--------- 5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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
Branch Circuits
$ 35.00
$ 60.00
$ 90.00 '
$130.00
$300.00 '
$35.00
above
Nev; ~~teration or Extension Per Panel
One Circuit
Tvo, to ten' Circuits
'Each Addt'l ten or
portion thereof
- . - - - -
.c.''-'.......-.:-'.....~"'"L_,.~-"'''__''-'- ".- .
. I .' $ 35.00
$ 50.00
_$ 15.00
35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less. $ 35.00
201 amps to 400 amps '$,40.00,
Over 401 'to' 600 amps ----- $ 80.00
Over 600 anips or :-l000 vol ts see 'nBn
E. Hiscellaneous (Service/feeder not included)
-Each ins talla t ion .
Pump 'or irrigation $ 36.00
Sign/Outline Lightinlr' $ 36.00 .
Signal Circuit or
limited energy panel $ 36.00
Ovners Signat?re:
~i;~~-.:\'-;:~~';ti.,: .),-.:;;C:":...~"- _' :2~ .._'?:.:."f:~~~:j;s~~~.~~\\'t.~~.~ :;.~,~~=~~ ._~ ,~.::;o.::~ .
35'.00
f .'15.
:lb. 'IF>