HomeMy WebLinkAboutPermit Electrical 1991-1-3
SpnlNGFIELD
225 FIFTH STREET ,
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: 726-3769 '
OFFICE: ,726-3759
1. I,OCA'lJON ,01 INSTALLATION, . ,
. 5Ji'::!IJ #dUal!?/J .t8Pa4..e..
/
LEGAL DBSCRIPTION , '
J.QO f::J ,~, () () (')o!)Qn
,;,' JOB DBrCRIPTION '. 0 ' ,
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Permits ar 10n-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
Electrical contract~()~, ~
Address ffiC\"l \. Q \::x\ '1 \ rftu. '
City f....cD Q.f\Q.. ,Phone l o~N1m
. () - .
Supervisor License Number J ~I Q9-S
, Expiration Date_/O.L9~
,"c~nstr Contr. Number~(\?:> I
9.3[).Q\
Expir,ation Date
S~gn~~~~erViSing Blectrician
TX'~/?~ . ,"
"Owners Name...ft-O ,If', l<<l~Q 0 f( ')
, Address~ {)IOJid;)
, <:i ty.sSptJ rt.', ,PhO~~ !}1(0-8/KS
, ,OWER USTALLATION
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
, RECEIPT I:
RECEIVED BY:
/-'3-q/
/q" I./'J.
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,
ELECTRICAL PERHIT APPLICATION
City Job Number . Q{)/4P{!)
3.
COMPLETE FBE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 sq.ft. or less I $ 85.00 ~5
Each additional 500
sq. ft or portion d ?2D
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 35.00
B.
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
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.,Circui ts
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)
5.
$ 36.00
$ 36.00
$ 36.00
-LI E) .cO
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-a/ 5. ry"
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL