HomeMy WebLinkAboutPermit Electrical 1991-3-8
225 FrITH STREET .,.,:;. :'. LECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ,\ <,' ::,0 . ~ I
iNSPECTION REQUEST: 726-3769 /" () } ,- City Job Number-B f{) {07
OFFICE: 726-3759 ' ,()~-;'~
:!;.:"',' '\..r\fJ.. .../ MPLETE PEE SCHEDULE DELOII
1. Ito~<m OF I~11*~.f.0~-' ,~.~ cJ:>>/ /
I Oh~ \ (-,\( tll~'f\O\'> ,;;7-1.. New Residential-Single or
, ,/ <:];if Multi-Family per dwelling uni to
, LEGAL DESCRIPTION "oj ~c?:- Service Included:
1'X'()~/)311 n'd&3XJ
',-
~ Df!Pffj~ (1l!(!J
permilsJare 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 D.
Electrical contractor&H'I:1J
Address 42.A'22.. \'\\U 11 f\?:io~~
' City ~\'~ .Phone ~qln~l~q~
. Supervisor License Number ~I S
Expiration Date-10!1 / q Q.
, f C.
'Constr Contr. Number 1'3Q4()
Expiration Date Lo tJ..O /q I
i-;P!:~v~'Z
i..,,,,;___ C!fp; ~,f~ )i / /ir;ss D.
AddressAf)~ m /6r '.
. City .~rl Phone 1iLo-\525
OIINER INSTALLATION
The installation is being. made on
property I own which is not. intended
. for sale, lease or ren t"
Owners Signature:
/,
--~---------------------------
DATE:_ _, ).8.ClJ _ __
RECEIh i: _ J J'1LQ-">1
RECEIVED DY: '- ::r (L n ) ,
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
\
/
I
/\
'\
Cost
Sum
\
B5
\5
$ 85.00
$ 15.00
$ 35.00
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
$ 90.00
$130.00
$300.00
$ 35.00
(
()
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
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
One Circuit
,Two ,to ten Circuits
Each Addt'l ten or
portion thereof
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
I~..~
_I ns .rr )