HomeMy WebLinkAboutPermit Electrical 1991-2-12
14 T-~2Cto
C. Temporary Services or Feeders '
~[) Installation, Alteration or Relocation
Expiration Date-1j I f1}C12-t OfJlo{q)
Signature Supervising Elec~ician
G fa,
'" j , 0> - ~ .~/-t--
(~ers Nnie, , if)h.i I~
Ajdress ' \...~ g n () ern
City' xX D~Phone 147-t2flo
,OWER !1NS\ALLATION '
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: ,726-3769
OFFICE: ,726-3759
, " ,,' 3.
..,. cWl~N~'fJ"{.~.A.
"(Jf?)!/'flr;~A()O .','
\.,\ Q ~oro~s~~~ rli 4- \1)0.ti')
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 dars.
2. CONTRACTOR INSTALLATION ONLY B.
~lectrical contractorQU U ~~-\.~
Address \ Cllo ~ 't:A \1\rl D )
, City fi)fjUlfLPhoneJ.ORR~
, Supervisor L:(}ense Number C!){)()lD S '
Expiration Date \! \ ria.? I
"Constr Contr. Number
The 'installation is being, made on
property, I own which is ,not,intended
, for sale, lease or rent.
Owners Signature:
~
" DATE:,_ r.9c - (!J. -4'(
'RECBIt'J: i: ~~/q&:""Lf/
RECEIVED BY: 'L(l / -
-
I
ELECTRICAL PERHIT APPLICATION ,
City Job Number , er(")\ ~q~' '
COMPLETE FEE SCDEDULE BELOV
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq;ft. or less $ 85.00
Each additional 500'
sq. ft or portion
thereof $ 15.00
Each,Hanuf'd Home or
Hodular Dwelling
Service or Feeder ,$ 35.00
Services or Feeders (10 Branch'Circuits
included). Installation, Alterations
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,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
101 )
200 amps or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps' $ 80.00
Over 600 amps or 1000 volts see "B" above
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
B; Hiscellaneous (Service/feeder not included)'
-Each 'installation
Pump or irrigation'
Sign/Outline Lighting
, Signal Circui t or
limited energy, panel'
$ 36.00
$36.00
5.
$ 36.00,
G?o. CQ
.v.UV
IO<::<'.UU
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL