HomeMy WebLinkAboutPermit Electrical 1991-12-16 (2)
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225 FIFTH. STREET "
SPRINGFIELo~ 'OREGON'9747j
INSPECTIO~ REQ~ST: 726-3769
OFFICE: " 7'26-3759
i. ,._~OCAijQN.. OF .:rNSTAL~TIO~ ,/
'.'-, .... ?, ", I ),..:; \ ""7 <; if ~ ( I ,
/
LEGAL, DESCRIPTION. " ' "
i~'~~ r':~ ,h;;~;;~;'C;~/JI'~ ~,"'.
3.
A.
JOB DESCRIPTION '
J7~:?-, ",'S s eo
0/360
Pe~mits are non-transferable and expire
ff work is not started within 180 days,
,of issuance or if work is suspended for
180 days. ' ,,' ",.
2. cONTRActoR 'INSTALLATION ONLY B.
E'lectric~l' 'Co~ltr~c~orf'f~C_~ ~:~e~ ~ lt~-t '
- , " ' ~ " , ..
Add'ress ~6 ,:el>-)C 1\1
city c.,j<C'......~~.~u~I'""'Phone ?yJ(.-~/oiV
Supervisor License Number 55 7.6 ~
Expiration Date /0 /, J 92--'
I I
Constr Contr. Number &5C:>OS
C.
Expiration Date ~ // 3/ '7 S
- I I'
Signature of Supervising Electrician
JL?....~~ a~~~ '
C-' '
Owners NarJie _J..f-v) T, "L'f ..
Address ,S-3 ~<"" j/tt~..~,
h.~.{-, A-
City
qp[J?
Phone ?cf7- <(? r ,
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
, .
---------------------------------------
'DATE: '/Z -/0_ - '71
RECEIPT #: ~ 3~,,~ '
RECEIVED BY: pf/ /J/.1'?/l
'-'{ .-
, S...IINGFII::LU
:: ~,Af
" ,~,
" 'E'tECTRICAL PERMIT APPLICATION
, "
'City Job Number 1/ /4~/
, , .
COHPLETEFEE 'SCHEDULE BELOY
. ' "'-", ' " ',",
New Residential-Single or, ,
Multi-Famqy per ,~welling 'unit. , '
Servic~ In6ludedi , ,
" -"t' . ," ',I: '
:'; "r.,:", .i', Items" ~,Cost Sum
, 1000 sq.f to or less
Ea~h ~ddltional 500
sq.ft or portion
therebf "Co : " ,
Each Manuf'd Home or
Mod(tlar': Dwell ing
Ser~t~e'6i"F~~der
"I ' ," " ,;
$ 85.00
,",',
'$ 15.00
/: , , 0-'2)
tfa
$ 40.00
servi.ces' or Fee:ders
r'nstallation, Alterations or
Reloca: d on: " '" " . , ,
" - ";' j'
200 amps or less"': ,
20f ~mp~ to AOO',am~~'
401 amp~ to 600~mps
601 amps to 1000 a'nips
Over 1000 amps/~~lts
ReconnectOnly ,
$ ~O.QO,
$. 60.00
$100.00
$130.00
$300.00
$ 40.00
Temporary Services or Feeders ,
Installation, Alteration or Relocation
200 amps or iess
201 amps to 400 amps
Over 401 to 600 amps
Over 600 ampsnr 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcui t
'Each Additional
Circuit or with Service
~r Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $' 20.00
Li~itedEnergy/Comm $ 36.00
5. SUBTOTAL OF ABOVE M h
5% State Surcharge L' 2.;0"0
TOTAL 4:2 O'iiJ'
"