HomeMy WebLinkAboutPermit Electrical 1991-3-15
225 FIFTH STREET
.SPRINGFIRLD, OREGON 97477
,INSPECTION REQUEST: ,726-3769
OFFICE: 726-3759
1.
LOCATION OF IJlSTAL4TIO~, 0 '\ '
\ o'f\~ \ l'J \n 1'~
x.r~g~~~~ O~~of)
,~B DRSCR!.PTIONJ "n rn._ /I '
\\c ~ lYd) , QLT ( V(ULA.1/
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Permits are non-transferable and expt(e
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
/ . '
2. CONTRACTOR INSTALLATION ONLY
Elec trical Con trac tor.
. Address
""
City
.Ph'one
Supervisor License Number
Expiration Date
.Constr Contr. Number
Expiration Date
Signature.of Supervising,Electrician
, Owners Name6'u^~ J l")~ \, )Q!\'\3 D.
Addr~ss .Sfl3 Do '\ a ,6--
City ~(fipho~e 12(D- \ ~Z5
OIINER INSTALLATION '
The installation is being, made on
property. I own which is not intended
, for sale, lease or rent.
"t~~~rLa ~
.... t~~: -~~ l~..qr-.~ --------
, RECEIPT I: /IV,. _.:.. ('/.... jU \ -
RECEIVED DY: ~l.LJc.A: ) .
,
ELECTRICAL PERMIT APPLICATION
City JobNUmber'a.. \D\ 0/7
3.
COMPLETE FEE SCHEDULE DELOV
New Residential-Single or
. Multi-Family per dwelling uni t.
Service Included:
A.
Items Cost
Sum
1500 sq;ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00, '
Each Manuf'd Borne or
Modular Dwelling
Service or Feeder .$ 35.00
n. Services or Feeders (10 Branch Circui 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
$ 90.00
$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
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B"
&~
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
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