HomeMy WebLinkAboutPermit Electrical 1991-10-8
225 FIFTH ~.~~.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5"""78'?P~/L</ '5>7.
LEGAL DESCRIPTION
1?-o~,,'3'r-'5 '5' 0':::>.800
,
, ,JOB DESCRIPTION .r
.N'.c~ ? ~V/ccr;:- 7' "5' 6-7",,-_ ~-,,' T _
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.
CONTRACTOR INSTALLATION ONLY
Electrical Contractor ~~~~
. , - -
Address 412../68 M_71~~c::::>r.
CitY~~Phone ~~~~
Supervisor License Number 3q~.2--S
Expiration Date
/t:?~-9 7-
Constr Contr. Number
Expiration Date /
./ ,
Nanie-4 c::'H>>'~?>~ ~,... '.~
Address "'5:;~ .-;-":: .
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:_ _ /CJ-$"'1t
~..~J.n I: "</5;:"<"7
RECEIVED BY: //~
./r
~1.'"N"".Il:.LU
City Job Number q i'/~o
. .
3.
COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items . Cost
Sum
.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
;,
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
I
~-
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ BO.OO
volts see "B"
above .
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit -:::S' $ 2.00 ~.--o
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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