HomeMy WebLinkAboutPermit Electrical 1991-7-30
SPfIlNGt=IELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOS(ATJOR, OJ\ INS~TION e-\ -&-
~q;....)..,-\ _""\1\.,\\ ~V\ \00,\
\(fF)~EC)~~ CJ~C\r'()
,
~J~ D~&;\(\ 01\ 10 0
Permits are non-transferable and expire
if work is not started within 1BO days
of issuance or if work is suspended for
1BO days.
2.
CONTRACTOR INSTALLATION ONLY
B.
Electrical Contractor \ P f)~. ~
Address ~q gll 0 '\'t\ . \ \, d.W
Ci ty FA "QQX\Q___ Phone '\ n <?lr)J r::8CL5
Supervisor Li~~se Number t~\()~ ~
Il'\. \ ,cr~
2544 ~1
Q,5D.Q\
Expiration Date
Constr Contr. Number
Expiration Date
signa~ Supervising Electrician
_Ia:/AZ- .
Owners Na~e (\f\.0~~
Address0() ~. ~illn~LD_
City 5 )(AQiLSL.-Phone 1o<Kq .SS{tf)
OVNER IN~ALLATIDN
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------7------------~----
DATE: J ::,0 l&l ,
RECEIPT t1: .A O'3SI
RECEIVED BY: -r~
3. COMPLETE FEE SCHEDULE BELOV
A, New Residential-Single or
Multi-Family per dwelling uni to
Service Included:
Items Cost Sum
1000 sq.ft. or less I $ 85.00 I??', dO
Each additional 500
sq. ft or portion 3 f >- tJt)
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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 ~
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
0t(JtJO
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
D,
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
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 / 7 (!). (90
5% S ta te Surcharge fr) . C; 0
TOTAL I 7 fi/. ,; c:'-