HomeMy WebLinkAboutPermit Electrical 1991-3-8
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 126-3769
OFFICE: 726-3759
1. LOCATION OF, INSTj\T~~~~~+-
,<=:;, AD rY\tA,l n
LEGAL DESCRIFTION
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I rjt)rS~~410N n\ ~O\
Permits are non-transferable and expire
'if work:isnot started within 180 days
of issuance or if work is suspended for
180 days,
2. CONTRACTOR INSTALLATION ONLY
Electrical contractoJilIW\{:I1:-Jru, hf6
AddressO\""Y") 'Headb.u kCt-Vl..t../"
City ~lLj".vlf/ Phone lo:~~-~~~!
Supervisor Licens~ Number~~~~~f) f
Expiration Date 10 -9 \
Constr Contr. Number dQ-I--'Z'9e.."
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number C\ \ () \ ~ lo
3, . COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single, or
Multi-Family per dwelling
Service Included:
'"'" ~
Cos t Suln
$ 85,00
$ 15.00
"
$ 35,00
B, 'Services or Feeders (10 Branch Circui.ts
included), Installation, Alterations
or Relocation: .
Items
1500 sq,ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
100 amps or less
101,amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only"
,
$ 35,00
$ 60,00 (,.f).CO
$ 80,00
$130,00
$300,00
$ 35.00
C, Temporary Services or Feeders
Installation, Alteration or Relocation
, L/' _1. J' '
. OWER ~STALLATION ,
Name~~ Q~) (\ n.
Address ioQ.t) 5\.AJ \-\\ If\7'-~
Ci ty ~\~OJ\~hone \ 02-'1, - 4t04~'
The installation is being made on E,
property I own which is not i~tended
for sale, lease or rent,
Owners Signature:
~
--------------~---T----------------- 5~
DATE: <~ 'Y)~ ~ _ ~ ./
RECEIFT II: . _ /~/'=1<.) 6
RECEIVED BY: ~.
200 amps or less
201 amps to 400 ,amps
Over ,401 to 600 amps
Over 600 amps 'or 1000
D.
Branch Circuits
$ 35,00 CJ5.C:D
$ 40,00
$ 80,00
volts see "B" above
New, Alteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Add t' 1 ten 'or'
portion thereof
I
$ 35,00
$ 50,00 :::v ,00
$ 15,00 16.CO
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '
0_~~ 11oS'6
, $ 36,00
$ 36,00
$ 36,00
I~(), 00
'5f,OO
{(oK. 00