Loading...
HomeMy WebLinkAboutPermit Electrical 1991-4-10 . ... '. i " 225 FIFTH STREET SPRINGFIELD, OREGON 97477 " INSPEcrION REQUEST: " 726-3769 , 'OFFICE: 726-3759 1. LOCATION OF INSTALLATION 1\ .. , ' 7).0 ~() I?vl~A)U It LEGAL DEScRIPTION '~--r~>< "La 1- 1bOO JOB D,ScRIW,01 ON ( nw h ,I, +In,u g J; u..c~', c 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. CONTRAcrOR INSTALLATION ,ONLY Ele~trical contractor~ Address ~~~ ,UJ . ~ Uq;..' , , ' ci ty Ii <.i..~~ ~ Phone 34'-1- Jr;:oD Supervisor License Number, q 'f ~- S Expiration Date. t 0- '1), Constr Contr. Number ~ 0 - ':2. go c , Expiration Difte JCj':' qJ- s"".~s.,~..,.,.,.. 'vauOA INSTALLATION Name Address City Phone The installation is being made on property I own which is not intended .. for sale, lease or ren t. Owners Signature: ~~il?,<,.jjt~___ DATE: 4 . \f'> " -' RECEIPT I: 1...1 I q I ( ) " RECEIVED BY: ~-=-J,lJ. '0. ) , ELECTRICAL PERH!T APPLICATION' Cl'IO~\ () ~ ,~ Ci ty ,Job Number 3. . COMPLETE ~EE SCBBDIJl.B BBLOV A. New Residential-Single. or Multi-Family per dwelling unit. Service Included: ' , Items " ' 1500 sq.ft. or less Each additional 500 . sq. ft or portion: thereof E~ch Kanuf'd Home or Kodular Dwelling 1 '70', Service, or Feeder, " oJ-' $ 35.00 B. 'Services or Feeders (10 Branch Circu1.ts included). 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 $ 80;00 $130;00 $300.00 $ 35.00 " "- C. Temporary Services,or Feeders 0 , Installation, :Alteration or R~l~cation .J; " ~. 200 amps'or less 201 amps to 400 amps Over 401 to 600 amps' Over 600 amps or, 1000 volts o $ 35.00 $ 40.00 $ 80.00 see, "B" ~.: , above D. BraCUitS ' ' )JO ,'. ' , Ne; ,eration or Extension'Per Panel One Circuit " Two to ten Circuits Each Mdt'l ten ,or" po~tion thereof ' . $ 35,00 $ 50.P9, $ 15.00 ,', ",-J -,:: - E. H'iscellaneous (Service/feeder not include, -Each installation ' Pump or 'irrigation 'Sign/Outline Lightin~ ,Signal ',Circui t or', " ' limited 'energy panel , 5; SUBTOTAL OF ABOVE 5% State Surcharge, TOTAL ' $ 36.,00 $ 36.00 - $ 36.00 ._ .Df}!=O .. "?-,.~ f)~ "~/') , ; 0, .. " :~,