HomeMy WebLinkAboutPermit Electrical 1991-1-17
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: : 726-3769
, 'OFFICE: 726-3759
ELEcrRICAL PBRHI'l APPL;CATION
City Job Number a /00;:<' ~
3. ' COMPLETE ~EE SCOEDIJ1.B BELOV
A. New Residential-Single, or >>'
Multi-Family per dwelling unit. '
Service Included: '
, Items, Cas ' SulD
. ,~
1500 sq.ft. or less $ 85.00
Each additional 500,
sq. ft or portion,
thereof
Each Manuf'd 'Home or
Modular Dwelling
Service, or Feeder: ' , .~
1, ,LOCATION OF INSTALLATIO~ J
,qq'l /Y'I(.Up",~ ~
LEGAL DESCRIPTION
fhd..() J7 '---r"...B-x 'kr ?,).bD
,
JOB ~ESCRIl'TION /: i1 _,...,4., .' '
MabJJb .w.nm~ 7 JU..i' ~
'l
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~~~ ~,
Address-Z~~-'W. :;)l/'1y
City iF t.l "I e N-lL.. Phone 34'1- i t;;o 0
I
Supervisor License Number '31./ a:-..s
Expiration Date
/D-q/
Constr contr. Nu~ber .)..tJ...l liD (!,
, Expiration Date
10:-11
own~igna~Ur~ :
~U l.~~
-----r-A--77-r ---------
DATE: (- '/-""" , ., <'
RECEIl'T I:-~>) y
RECEIVED BY: ~. ) -
- ~~
"
$ 15.00
" /
'$ 35.0.0'10
'.
B. "Services or Feeders (10 Branch CircuiU
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
$ 80;00
$130"00
$300.00
$ 35.00
.... "
C. Temporary Services,or Feeders
Installation, ,Alteration or R~l~cation
200 a,mps' or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or,lO~O volts
D. Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see, "sn
above
Signature of Supervising Electrician
'-f\~ ~ ~5 .
Nam~~(fJn~LhQ~ "
Add""jJ9C/ IL..J.g~
Ci ty, 0 lC)U'JL.- Phone \d ' -<4 I d5
The install~on is being made on E.
property I own which is not intended
for sale, lease or rent.
New; Alteration or Extension'Per Panel
One Circuit .,
Two to ten Circuits
Each Mdt'l ten or' ,
po~tion thereof '
.
$ 35.00
$ 5,0. pp
$ 15.00
Miscellaneous (Service/feeder not includei
-Each installation .
Pump or 'irrigation
'Sign/Outline Lightin~
.Signal :Circui t or', , ,
limited 'energy panel
, 5~
SUBTOTAL OF AllOVE
5:1: State Surcharge.,
TOTAL '
$ 36.,00
$ 36.00
'$ 36.00
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