HomeMy WebLinkAboutPermit Electrical 1991-3-11
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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_
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