HomeMy WebLinkAboutPermit Electrical 1991-3-15
ELECTRICAL PERHI'l APPLICATION
City' Job Number31 {)r:J I ('e.- . '
. .
3. . COHPLETE ~EE SCBEDlJl.B BELOV .
. .
A. New Residential-Single. or ~
Hulti-F,amily per dwelling unit.' ,
Service Included I' " ,
. '
" . Items, Cost . SUIn
1500 sq. ft. or less. $ 85,'00
Each additional 500
sq. ft or portion.
thereof $ 15.00
'Each Hanuf'd Home or
Modular Dwelling ,
Service. or Feeder. . ,:J.- '$ 35.00 1D
B. 'Services or Feeders (10 Branch Circui.ts
included). Installation, Alterations
or Reloca t ion I
....
C. Temporary Services.or Feeders .
Installation, .Alteration or .R~l!lcation
200 amps'or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps $ BO'.OO
Over 600 amps or. 1000 volts see."B" above
,
,225 FInD sTREET I) A.!-'
SPRINGFIELD, OREGON 97477 '
,INSPECtION REQUEST: : 726-3769
'OFFICE: 726-3759
1, ,LOCATION OF ItlSTALLATIOtl n II /Off
/q& ~ fIttlJ)m..iJJI U'
LEGAL DESCRIPTION
IY"\ /11' 1-1
JOB DESqu~IO~ LA
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1A x &t Jibov
fa~fMu
Permits are non_transferable and expire.
if work is not started within lBO days
. of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ,ONLY
Electrical Contractor ~/nrf, '1 tf'J,~-j
Add ress X' 55'. I p .;J 'fry .
Expiration Date
Constr contr. Nu~ber
~"l./- I.>OD
, q'l~-.s
I{r q /
. -2o-2kD-C.
Ci ty ~ PA N' Phone
Supervisor License Number
.
, Expiration Date
10. 9/
Signature of Supervising Elec'trician
~ ~ 1'15-5
/ ' D.
, . O~IlNSTALLATION . ''t.
Name0U~))awJ J - J) Aiw~
Address \ \ Cl<:1 V\ T ~(V L1T ..
city_6~fl~ PhonelrfZK~IZ~
The installation is being made on . E.
property 1 own which is not intended
for sale, lease or rent.
Owners Signatur~:
.@?-d.le' ~ 7f.~r-! -----~-~
DATE: ,~. \$.. ....' ,
RECEIPT 11: JC.-{ 'YJ J ,,3 .
RECEIVED BY: ' (\. T' /)(A ./
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'
Branch Circuits
. $ 35.00
$ 60.00
$ 80;00
$130:00
$300.00
$ 35.00
New', Alteratioll or Extension ',Per Panel
One Circuit '. j- $ 35.00 ~~
Two to ten Circuits $ ~0.P9
Each A4dt'1 ten or' ' -----
portion thereof " $ 15.00
. .
Hiscellaneous (Se~vice/feeder not lncludei
-Each installation . ,
Pump or 'irrigation $ 36.00
'Sign/Outline Lightin~ $ 36.00
,Signal ',Circuit or'. ,..
limited 'energy panel
. 5;
SUBTOTAL OF ABOVE
5% State Surcharge.
TOTAL
'$ 36.00 ._
.L(}~.CO
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