Loading...
HomeMy WebLinkAboutPermit Electrical 1991-3-11 1\IIIIIl'i~i;;II.=1!!lI'J;I"r!'}"~ 2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch Circuits NY\\t1\1(\7; ()~ 9ft Aiincluded). InstallatiDn, Alterations Electri~l Contracto~( C 11\1f[U&Cl' or Relocation: Address 'V. t) , ~().( , II \ 100 amps or less $ 35.00 <V\.l\t r I" ' --v\J _ II rv/ C/ 101 amps to 400 amps $ 60.00 CitY\lil\lOI(\^\~one n\O-I1-C\O 401 amps to 600 amps $ 90.00 , I:l-:l:(ll-<:: 601 amps to 1000 amps $130.00 Supervisor License Number ~~ (l) Over 1000 amps/volts $300.00 '\f'-.,., \ . n (), ~ \ Reconnect Only $ 35.00 EKpiration Date l J V'\ '(~ \ , Constr Contr. Number lo~ \ EKpiratiDn Date 3! I.~ [0 I Signature 'of Supervising,Electrician \L I{.J/ to. :\1 j f'iwn:rs Nameli\f\f\Lf ' Address 03.~5 m . City'~ ),0L4ho~e , O~' I~STALLATION 225 FIFTU STREET 'SPRINGFIELD, OREGON 97477 iNSPECTION REQUEST: . 726-3769 OFFICE: ,726-3759 1. LOCA,'!JON OF INST~k\~<fN -B:':21. ' ..':) ~~c;::..., \ \ \( \ 1.1(\ -.)( () A. LEGAL DESCRIPTION . \ .lO!4DES~ON ,I Q "I ~ L n \ 9X ~ '- \ _ , I \{"'j ~\', ~(l 0 ri}()~ Permits are no -transferable and expire if work is not started within 180 days of issuance or if work is suspended for 180 days. The installation is being, made on property, I own which is not intended , for sale, lease or rent. Owners Signature: ~~~~~--------3 - \\-.V\.-T----------- ~RECEIPT I: I..JJ", \LA Ll.2I..r-.: RECEIVED BY: /7 \ u: r' \- \\ ~ ........,. ELECTRICAL PERMIT APPLICATION City Job Number · ClI O&()f) 3. COHPLETE FEE SCUEDULE BELOV New Residential-Single or ,,s Multi-Family per dwelling unit:~ Service Included: Items Sum 1500 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 $ 35.00 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 $ 35.00 $ 40.00 $ 80.00 see "B" volts above Branch Circuits New, Alteration or Extension Per Panel 35 One Circuit ,Two to ten Circuits Each Addt'l ten or portion thereof \ $ 35.00 $ 50.00 $ 15.00 E: Miscellaneous (Service/feeder -Each installation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel no t included) $ 36.00 $ 36.00 $ 36.00 5. SUDTOTAL OF ABOVE 5% State Surcharge TOTAL 1'15_ ~1r,..-1~