Loading...
HomeMy WebLinkAboutPermit Electrical 1991-11-14 225 FIFTH STREET 'SPRINGFIELD, OREGON 97477 ,.INSPECTION REQUEST: ,726-3769 OFFICE: .726-3759 j, , 3. 1. .I,Oftf~'~IN~~OD(1\~A. \ ~~~~~N ()~-,(y) . JOIl PBSCR!JPTION ?J\' . ' \ N\ -\-\ .....Au f\)CV,.....( "if\. ' Permits are' non-transfera"\ 'and expire if work is not started wit~n 180 days of issuance or if work is suspended for 180 days. 2. CONTRACTOR INSTALLATION ONLY B. Elect~ical contractor~~~. ~/~ Address F50 aJ/..-IJ ~L/f'., . ,City~" 'Ph~nej'(/q-'-/:i?JO Supervisor License Number CJLj)' - C) -) Expiration Date ) t) /q I , ELECTRICAL PERMIT APPLICATION' Ci ty Job Number ,q, ()Lo ~ ~ ..~ ~ COMPLETE FEE SCHEDULE BELOV New Residential-Single or . Multi-Family per dwelling unit. Service Included:, Items Cost Sum 1500 sq;ft. or less $ 85.00 Each additional 500 sq. ft or portion thereof $ 15.00. Each Manuf'd Home or Modular Dwelling ~ 'JD. Service or Feeder $ 35.00 Services or Feeders (10 Branch Circuits 'included). Installation, Alterations or. Relocation: 100 amps or less 101 amps to 400 amps 401 amps to 600 amps 601 amps to 1000 amps Over 1000 amps/volts Reconnect Only $35.00 $ 60.00 $ 90.00 $130.00 $300.00 $ 35.00 'Constr Contr. Number dD - c2J/) r. J(J jq / C. Temporary Services or Feeders Installation, Alteration or Relocation Expiration Date 200 amps or less $ 35.00 201 amps to 400 amps $ 40.00 Over 401 to 600 amps $ 80.00 Over 600 amps or 1000 volts see "B" above Signature of Supervising,Electrician . '~.~-- / . n (\ D. Branch Cli-cui ts. . owners' Na lJCI ~ . ',. ....11 n 'f'..- \ -.r.r~' New,AlterationorExtensionPerPanel Address \ V\ I \ ~Q ,\ l ' ,... .~' , njIlQ...' t _0(;- \'72 One Circuit . -L $ 35.00 ~ . City' . ' , y' Il :.. Phone\D~~'&.--J, ,Two .to ten Circuits ,$ 50.00 . .' .' . ' Each Add t' 1 ten or . OVNER'IN ALLATION . . . portion thereof . $ 15.00 The 'installation is being, made on property. I .own which is .not,intended . for' sale; lease or .rent. Ovners Signature:' DATE:~ \- \ "-\--L-\. \ . Rt.".u,.. .: \.............. RECEIVED BY: l_.I'-, ~--- / E~ Miscellaneous (Service/feeder not included) -Each 'installation Pump or irrigation Sign/Outline Lighting . Signal Circuit or limited energy. panel 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL $ 36.00 $ 36.00 ' $ 36.00 ~?S: ..... ' N '-) , .