HomeMy WebLinkAboutPermit Electrical 1991-6-13
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477 '
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1;
LOCATI~_r I~i;:ffTION
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LEGAL DESCRIFTION
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JOB DESCRIFTION
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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 co~tractor"g<t"" t::'~?
Address~q'7 h Dau Lc,w t'_
...--f
Ci ty ~-1.p1.l ~ Phone c.J(/~-oq~5
Supervisor License Number /SkIl'S
Expiration Date /6- /- 4Z
Constr Contr. Number 544z1
Expiration Date q- 31J-.~/
Si~.~~Electrician
'OVNER INSTALLATION
Name ,...kc~ &~/Me!:;
Address /~ ~7 M.c/dt?N &1'46'
, .
Ci ty ~~;;</:tIf,f/hone
The installation is being made on' E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: 1.--.- I~ -0 I
RECEIFT II: :lb'),Ic':;>
RECEIVED BY: at!-,
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
COK~LETE FEE SCHEDULE BELOV
CJOILlI::J..
New Residential-Single, or
Multi-Family per dwelling unit.
Service Included:
A.
1500 sq.ft, or less
Each additional 500
sq. jt,or portion
thereof .
Each, Manuf'd Home or
Modular Dwelling
Service or Feeder
It emsCos t
Suln
$ 85.00
$ 15.00
$ 35.00
Services or eeder (10 Branch Circuits'
included). ----a'llation, Alterations
or Relocation:
B.
100 amps or less I $ 35.00 ~.s~
101 amps to 400 amps $ 60.00
401 amps to 600 amps $ 80.00
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
D.
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 Lightin~
'Signal Circuit or
limited energy panel
One Circuit
Two to ten Circuits
Each Add t' 1 ten or'
portion thereof
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
35~
i?S'
~/' 75