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HomeMy WebLinkAboutPermit Electrical 1991-9-23 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 Ci ty Job Number 9//03 '7 OFFICE: 726-3759 1. LOCATION OF INSTALLATION -:2LP/2 /#L:;__?!~s--' LEGAL DESCRIPTION JR-o~-o:::z .~. ef)!IfS/&e;> , 3. COMPLETE FEE SCHEDULE BELOY A. New Residential-Single or Multi-Family per dwelling unit. Service Included: JOB DESCRIPTION /Y:?..4~~. ~/??6' ~ c.t:q; 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 Ci ty Phone Supervisor License Number Expiration Date Items Cos t Sum lOOO sq.ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00 Each Manuf'd Home or Modular Dwelling Service or Feeder ~ $ 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 Constr Contr. Number C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date Signature of Supervising Electrician Owners Name PA-7" L..r_-_~7'f , Address 7~/~ ~L nJJ5/~A-.",.. City ~,,?;>~b Phone '?2h~/-:> or OYNER INSTALLATION The installation is being made on property I own which is not intended for sale, lease or rent. Owners Signature: ;( CJ!Id,-d /~/,...----- DATE: Q-2'3'$?,r' RECEIPT I: ::?/~) RECEIVED BY: ./'" A~ . .,/' 200 amps or less 201 amps to 400 amps Over 401 to 600 amps Over 600 amps or 1000 volts D. Branch Circuits $ 40.00 $ 55.00 $ 80.00 see "B" above New, Alteration or Extension Per Panel Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lightin~ Limited Energy/Res Limited Energy/Comm One Circuit Each Additional Circuit or with Service or Feeder Permit E. 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 35.00 $ 2.00 not included) $ 40.00 $ 40.00 $ 20.0'0 $ 36.00 4'0 .-:> 2~D>C::- ~? _ c.<>