HomeMy WebLinkAboutPermit Electrical 1991-11-19
::.'.'I1........r.'II:;.LU
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number "3/A::sY'~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~,if/~~-
LEGAL DESCRIPTION
~'2.J#'J-32.~ ~/.:::>O
,
JOB DESCRIPTION
T~/nID ,r...A--' :d~~~
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 Nallie. a4.~.- C6~ '~r;:r~ .
Address 2ij'/<J/# A/~-:r~ ~.
City
~t.7..)
Phone"7~ -"'9/:;><:"
~
01lNER INSTALLATION
I
The installation is being made on
. property I own which is not intended
fo< .0)" 1..., 0< ""..' il ;',
o:,"ers ,Signature: /:;~
. ~~!f5;?~:P:~----~~
M.\-r.1PT 11:_ o-?"'3/4"-:-o.
RECEIVED BYV ./~~~ .
-/ v 7
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 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
$ 40.00
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or. Relocation
200 amps or less . ~ $ 40.00 ~~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or. 1000 volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE 41~ --
5% State Surcharge . 7~-
TOTAL ~. -