HomeMy WebLinkAboutPermit Electrical 1991-5-9
225 FIFTil STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Qt' 1-. L LOCAT.s~"mtD.~~T~2ftJL p~
"I-htfi ~;JCQff 9rd:Spm
J ~ ()'d () ~\ I t) 0 I J ~ "t 5()[p ..s lJ 9 f'L
-r- Jon, DESqq:rnO~1>I1l1 J he
I.- MST'l}iI.L too tT ~Y'W I L-G
Permits are non-transfer~ble and expire
if vork is not started \lithin 180 days
of issuance or if \lork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
~'q~trical ContractorL f.. f)12~Oc..
,- Q I d /' \ \ f.\ II L...l..-t
Address~0\ U(d'1 ~~J ,
Ci ty'5)i( I f\)GFI,an Phone J!} ,.lJ; 3~
Supervisor License Number :3 4-q ~ '3
101 ( qL
Constr Contr. Number ~{Dqq
f~J IgJ~1
I
Expiration Date
Expiration Date
Signature of Supervising Electrician
,~~ .
Ollners Name r iT 'vI 0 r J:Ub5ItJ&" D.
Address~0 WESr M. 5r1t&: ?In
Ci ttl)li~/Jt' Phone (O~7 . 52.-3&
OVNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~::~:~---~-\~~-----
ELEC'l1UCAL PRRHIT APPCAT~ A '--1/
City Job Number \ ~ t
3. COMPLETE PEE SCUEDULE BELaY
A.
Nell Residential-Single or
Hulti-Family per dvelling unit.
Service Included:
Items Cos t
Sum
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular D\lelling
Service or Feeder $ 35.00
Services or Feeders (10 Branch Circuits
inclUded). Installation, AlteratiQns
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 35,Q)
$ 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
$ 35.00
$ 40.00
$ 80.00
volts see "B"
above
Branch Circuits
New, ~lteration or Extension Per Panel
One Circuit
Tvo 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 $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE 35, (j)
5% State Surcharge 1. 7S
TOTAL 3(1') I Ie;