HomeMy WebLinkAboutPermit Electrical 1991-9-27
225 FIITB STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 '
1. LOCATIIlN OF INSTALLApON
1 If J :tMhh ItJUtfY\ I
LEGAL DESCRIPTION
JOB DESCRIPTION
l1)(Ju > --non'!. pllfmf )
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 Contractor~ks 8~H"lttli l.~.
I ' I
Address P.D.~, IJl..8~
Cit.~~tJ) Phone1'-f.{-1-:A31a
Supervisor License' Number I/, g h S '
Expiration Date
lo-I-q~
~,.I~
~.
ELECTRICAL PERMIT APPLICATION
Ci ty Job NumberC\ \\ \. L\ \
*
Sum
3.
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
,
200 amps or less
201 amps to 400 amps
'Over 401 to 600 amps
Over 600 amps or 1000 volts
A.
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:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr.. Number () 3'249
Expiration Date ' q-(-q'L,
C. Temporary Services or Feeders
'Installation, Alteration or Relocation
Sign~ture of Supervising Electrician
ad/.C<J~ " '
Owners NameRJDhM..cL~~ \~',
Address~1Y\ j
, CitY~PhOne 1t.j.1-08~o
OVNER INSTALLATION
The installation is being made on E.
property I own which is not ,intended
for'sale, lease or rent.
Owners Signature:
--------------------------------------- 5.
:~~~PT 1I: . d. \ \-\L.u G_ -') :1-0 !
RECEIVED 8Y:;'--~~ p _ \.-J ,-..-----
'.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circui t
Each,Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35'.00
$ 2.00
Miscellaneous (Service/feeder
,-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE '
5% State Surcharge
TOTAL
no t included)
$ 40.00
$40.00
$ 20.00
$ 36.00
35",00
~S'
~5