HomeMy WebLinkAboutPermit Electrical 1991-1-28
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
, INSPECrION REQUEST: 726-3769
OFFICE: ' '726-3759
1. LOCATION 9F INSTALLATIO!f,.. . '
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LEGAL DESCRIPTION
1'7//:<: 2.7' /2 ~t?
~. -
" JOB DESCRIPTION
JfIEuJ 5.F ~m-. f ~ aM,
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 '
Address
City
. Phone ,
Supervisor License Number
',' Expiration Date
"Cons'tr Contr. Number
.Expiration Date
Sigr;ature,of Supervising Electr1cian
'c',. .
--. - ~". .
. Owners NameR/~ , II' L~j..f.(}fj(
AddressJ/07 ~. &2t'5T:'
,tity (~5~Pho~e 974;;..4-
.OVNER INSTALLATION 91';.-33tJe
- The installation is being, made on
property I ,own which is ,not,intended
,for sale, lease or rent.
." ". '
, "
. '
..x;2gSu7~
DATE: / - 4.ffi -1/
, RECEIPT ,: /'1 (.<i..'~
RECEIVED BY: iE"~
1
ELECTRICAL PERMIT APPLICATION
, City JObNumber~1 ~06 7
3. COMPLETE FEE SCHEDULE, BELOV
A. New Residential-Single or "
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq.ft. or less ,I $ 85.00' !l,S!!-".
Each additional 500
sq. ft or portion
thereof I $,15;00. &4:Il,'
. Each ,Hanuf'd Home or
Modular Dwelling,
Service or Feeder $ 35.00
B. Services or Feeders (10 Branch'Circuits
'included). Installation, Alterations
or Relocation:
\~CO<O.J\..\....j-'- ---
100 amps (fr-Iess 0 -L $ 35.00, ~~~,
101 amps to 400 amps $ 60.00
401 amps to 600 amps $ 90.00
601'amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B"
above
I
D. Branch Circuits
New, Alteration or ExtensiDn Per Panel
One Circuit
,Two .to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$'15.00
E~ Miscellaneous (Service/feeder not included) .
-Each installation
Pump or irrigation' ,
Sign/Outline Lightin~
. Signal Circui t or
limited, energy, panel
$ 36.00
$ 36.00
, ...:t,L II
'.Ql 00
C)l.D.
5.
,$ 36.00 .
17J.~
, <!iI..t>~
/ 79 .r.r
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL