Loading...
HomeMy WebLinkAboutPermit Electrical 1991-7-24 S.-UINGFIELD 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION dd~ S ~ t:Y'" ;S,' "- 5!~s. J.EGAL DESCRIPTION . I/~S3\-dl D'63bD JOB DESCRIPTION ~f/ll€Cr IfL~~/ AwpL- ~ L-//V.f5 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 Constr Contr. Number Expiration Date Signature of Supervising Electrician Owners Na~efp 14 ~~ Address pcfJ ~ ;;, ;)-~ Ci ty. ,-...?"n~ Phone 7.:20 ~ h b:::.~ OVNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ~,1~t)~-L-r,'~(i1 J -- - . ----_!.._----~-- ~-. .. /----------- DA: r---, - Q .' y\ \ , RECEIPT i: ~ it+, '"\ r'K)I J~ 1- RECEIVED BY: _ 4LiJeD 3. COMPLETE FEE SCHEDULE BELOV New Residential-Single or Multi-Family per dwelling unit. Service Included: A. 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Manuf'd Home or Modular Dwelling Service or Feeder B. Services or Feeders Installation, Alterations or Relocation: 200 amps or less 201 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only D. Branch Circuits Items Cost Sum C. Temporary Services or Feeders i~;t;;;;t;~n;~;:::::tiOl or ie;;~i;iO~ Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above $ 85.00 $ 15.00 $ 40.00 $ 50.00 $ 60.00 $100.00 $130.00 $300.00 $ 40.00 New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Limited Energy/Res Limited Energy/Comm , One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.00 $ 36.00 1~1