HomeMy WebLinkAboutPermit Electrical 1991-5-3
.-l~...'.''''''''.."
C1 ,. ,:1
~ ~l ,...
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
'57+~ AIVO thA\"J S<p,'=O.
5/ 0 0 \'V1 "-~ r'\ (2.tl V
LEGAL DESCRIPTION
AJOR-rll tvE'S, VA ruRAL ~ A~ '
JOB DESCRIPTION
, ~
NEW PEOI",TrtL SEfVlU:.
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 B.
Electrical Contractor /,. .tf, m()~~I~ Ekel
Address 48'3 SHE L'-Gv ~ rR.
Ci ty SPrf).
Phone 74-7.-o~11
Supervisor License Number <J;OK -<;
Expiration Date
=0,/ ~.]:, .~~,
Constr Contr. Number ~1~ ~~
Expiration Date 0/..t$.. /t9,!
"'p ~/.J'-
xs}:::;~~trician
OVNER INSTALLATION
Name
Address
Ci ty
Phone
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: c:- ) - ~I
RECEIPT #: - /~7'~ 2-
RECEIVED BY': . ~~u\TlA-.
ELECTRICAL PERMIT APPLICATION
City Job Number
C)/O#7
, I
3.
l
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less $ 35.00 3S
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
$ 35.00
$ 40.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension 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 $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
~,~
/75
3b,'" $"