HomeMy WebLinkAboutPermit Electrical 1991-3-26
SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
31 g 5 &ATflMl'ty----.f.P
LEGAL DESCRIPTION
GROcEJfv e..A~r STo~E
JOB DESCRIPTION
7A15/~LL vEW 200 Afr~{ErI/Ic.t.3
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 J...Jt. 111tJ~~I~ E~
Address~,q?, SUI:ll.k.\ c.It.
City SfFYJ, Phone 747-of:1!
","Supervisor License Number fSOll' - S
Expiration'Date
Constr Contr. Number' ;;10- 3 <rc.
~xpiration Date
;(~ign ure of Supervisi~ E)7ctrician
0Pf~X'~~.//~/
, . .
v.""'" INSTALLATION
Name
Address
City
Phone
The installation is being.made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~-----~'-):~~;~/-~~----~------
RECEIPT #: (Cjf../'~"''''/J~)
RECEIVED BY:' I /
ELECTRICAL PERMIT APPLICATION
City Job Number C{ Im2G\
3. COMPLETE FEE SCHEDULE BELOII
A. New Residential-Single. or
Multi-Family per dwelling uni t.
Service Included:
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 $ 35.00
B. Services or Feeders (10 Branch Circuits
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
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see liB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Add t' 1 ten or'
portion thereof
$ 35.00
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
'Pump or irrigation $ 36.00
Sign/Outline Lightin~ $ 36.00
Signal.Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
CoOO~
3 ~~
(,-,3~