HomeMy WebLinkAboutPermit Electrical 1991-8-22
~
225 u.~.u STREET
. SPRINGFIELD, OREGON 97477
.INSPEcrION REQUEST: .726-3769
OFFICE: .726-3759
. '. .
. .
. ... 1 .
ELECTRICAL PERMIT APPLICATION A 11 .
City Job Number... q \Dl~
3. COMPLETE FEE SCDKDULK BELOV
.1. LOCATION OF INST~TION J.
.. I.o"::? I.J. L.rr j".,tU f'M./ .
LEGAL. DESCRIPTION/ .. W
T.L, b'lOVf 11D3~;'ll
.. .' '.'.
.' JOB DESCRIPTION. ,().
_yYl(Jh,1; ~L 'fJ JI/Lr~.
A. New Residential-Single or
. Mul ti-Family per dwelling uni t..
Service Included:. .
Permits are non~transferable and expire
if work is not started within 180 days
of issuance or if work is. suspended for
180 dars,
2, CONTRACTOR INSTALLATION ONLY B.
Elect~ical cont~actorJfj.-{/~ lf~
Address X' &<; IA}'/ A.J- ddtb-. .
. City+o .Pho:e3Q</- loGO
. Supervisor License Number qt../s-:- ,C:;
Expiration Date . II) Ie; I
. Constr Contr. Number Q?()-;)RO ~
Items Cost Sum
1500 sq;ft. or less $ 85.00
Each additional 500.
sq. ft or portion
thereof . $ 15.00.
Each Manuf'd Home or
Modular Dwelling .. ,
Service or Feeder '"2/ $35.00 10
Services or Feeders (10 Branch Circuits
.inc1uded). 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
.Expiration Date
IfJ/QI
Signature of Supervising. Electrician
...~...~
I&-::) ... .
Owners Nam~m. .
Address ..Ilqq l h. IJ ,nru ;
City. fl 'Qg)l_~'1!hone1Il9:f!Jqlt3
OVNER I~TALLATION
The.installation is being. made on
property. I .own which is not. intended
: . for' sale; lease .or .rent.
Owners Signature:
..~r?~~
.. DATE: 93~' Q... '. , . _
. RECEIPT I: ., . . ." ~/UX-<"
RECEIVED BY: . . ),\} .oot:::::::7
. -
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps. $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch chcui ts
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
Each Addtrl ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E; Miscellaneous (Service/feeder not included)
-Each installation
Pump.or irrigation
Sign/Outline Lighting
. Signal Circui t or
limited energy panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
$ 36.00 .
$ 36.00
'70.cO
.'-< .~
\I::>., .50