HomeMy WebLinkAboutPermit Electrical 1991-10-22
225 FIFTII S.M.".
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATI;~ INSTALLATION
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LEGAL, DESCRIPTION
I/O 335'4'/ A t9-LJeJ
JOB ,DESCRIPTION
'. -;"uI'..o I pJ,n(J.L1......-
Permi'ts 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
Ele,ctrical' Contr~ctor, 4Te"'I",U 5/6"1 )
Address 5196/0 CPH
Ci ty ~,eg('r7Phone
Supervisor License Number
6753220,
'501 IT.
Expiration Date /6/9"5'
Constr Contr. Numbe:' ~<1f;7~
Expi~ation Date ~;f~~
(
Signature of SuperVising Electrician
, Ar-or;
, \ 1~7~ .
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
. property I own which is not intended
for sale, lease or rent.
Ovners Signature:
I
I
I
DATE: /0 ~l-2..q,/
RECEIPT 11: 2.llnlo I?
RECEIVED BY: /lAP.
City Job Number q 117./7),0
3. COMPLETE FEE SCHEDULE BELOV
A.
Items Cost
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
. $ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or. Relocation .,
$ 40.00
$ 55.00
$ 80.00
see "B"
above
1000 sq.ft. or less
Each additional 500
~q.ft or portion
thereof
Each Manuf'd Home or
Modular ,Dwelling
,Service or Feeder
B. ,Services or Feeders
'Insta1Iation, Alterations or
Rll10cation:
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
200 amps or less
201'amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcuit ,$ 35.00
Each Addi tional
Circuit or with Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting X'\ $ 40.00
Limited Energy/Res $' 20.00
LiniitedEnergy/Comm $ 36.00
5. SUBTOTAL OF ABOVE L.t'O . (J(')
5% State Surcharge ~,~
TOTAL 4- wtJ