HomeMy WebLinkAboutPermit Electrical 1991-7-8
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECfION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION ....I'l
S7S:S- fnl4-1 tV $ pta
LEGAL DESCRIPTION
JOB DESCRIPTION
ALe, E,.e:n,dI\1S ":::. -n> RE.
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACfOR INSTALLATION ONLY
Electrical Contractor ~ ~_
Address P,O r B <7 {::LbG R'
City S~
Phone ?:'QQ-7Go1
Supervisor License Number (~~S
Expiration Date
/0/0/;]
Constr Contr. Number /O)??S-
Expiration Date
?j;)7/q~
Signature of Supervising Electrician
^~~()~
Owners Name
Address
City Phone
u......, INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~=-~----I{b, Y' ,-- r' --~--
RECEIl''!: II: 1/, _ '-7<\ma J 1
RECEIVED BY: (I..:XI / ~'~ ___ '
\...-/ I --
3.
COHPLETE FEE SCHEDULE BELOV *
New Residential-Single or_ .,
Mul ti-Family per dwelling uni to ' , ' '
Service Included:
Items Cost Sum
A.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
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 1
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
'10 ,Ut)
$ 40.00
$ 55.00
$ 80.00
see "B"
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
5% State Surcharge
TOTAL
-2-'CJO
42-.-CJO