HomeMy WebLinkAboutPermit Mechanical 1991-9-23
~
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
5:l3S m~jI)1J->Jt.*;U
, ,
City Job Number ~/~~~/
3. COHPLETE FEE SCHEDULE BELOV
Items Cos t
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
JOB DESCRIPTION
1.1i iUl .JH_o t; ~lIIm p.-;
Permits are non-transferable and eKpire
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor C k S POlfltJU.o l. ~.
I '
Address P.O. M /4 &1--
,
Ci t~Wn~oQ rL Phone '14/- #.7.3to
Supervisor License Number 110 8 b S
Expiration Date 10- / - q ~
Constr Contr. Number 0-:1 <;U./-q
Expiration Date q -1-q1...,
Signature of Supervising Electrician
O/~/!~~
Owners Name ~ 0, P 41 '
Address 5'3:15' mil Un j.J:t.. # ~ 1
,
Cit~l'W.IY\~Phone 14/-o2UJ
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
'7~ T-"S /
?/~c,r
~__"'::~.~_-:,;,....z.- ...
~,
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
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
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, AlteratiDn or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see fiB"
above
New, Alteration or EKtension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 30.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.3 5'. 00
1.75'
.16, '7:f