HomeMy WebLinkAboutPermit Electrical 1991-10-16 (2)
~~=- - .....~
SPrllNGFIELO
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorL.~. 6R'ft&If1t:u1.IjJL.
AddressW~ WGST"011 *6e.r
Ci tyS.))Z1 tVGF'IIrt-~ Phone 1 Lfl'f003'b
Supervisor License Number :)~~q5
Expiration Date (of, {q L
'cOrlstr Contr, Number ~0q0
Signature of Supervising Electrician
~~ JL9.e~ U~ ~
:ners Name (f) W l~(~ ~/'r2-0dUftD.
Address ~ 1 00 ~m ~
City6 pl(~,~ Phon.7lf(o, l*~
OVNER INSTALLATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATIO~OF INSTALLATION
?/lDO' CO m YYJ6~CUql
\~~~~N ()O~
--7' JO!,J DESCRIPTI~1l1l f\
;,-N5ffHL '(~O() 1.1.ULf ~-.J/lcE'
L)(~e~~t~:l non-transferable and expire
if work is not started within 180 days
.~f issuance or if work is suspended for
'180 days,
Expiration Date
I ~'I~ .q,
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~ATE: --7()-~-tTjj, .
RECEIPT #:
RECEIVED BY:\' D
, (jCJ-
~
ELECTRICALPERHIT APPLICATION
City Job Number n \ f'\ r ,..Q 17.
"=T\\ _) ctJ.) I
3. COMPLETE FEE SCHEDULE BELOVq' 11{of-
A. New Residential-Single or
Multi-Family per dwelling unit,
Service Included:
Items
Sum
Cost
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
.
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
I
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
$ 40.00
$ 55,00
$ 80,00
volts see "B"
above
Branch Circuits
New, Alteration or Extension Per Pan~l
. One Cf.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
5% State Surcharge
TOTAL
300,00
IS,ex')
?>\~,n()