HomeMy WebLinkAboutPermit Electrical 1991-7-11
'-
S"UINCt=IELD.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
..!i:~'15 mniJn.J -~,
\ 'l~~~4~ ()~ 100
JOB DESCRIPTION
R.e Lie<; V' ,,,tP.s~YVJ-c-,,
Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B,
Electrical Contractori!4S ehflrUll)I~'
Address p.f:).llu,-L JJZ1-,
I
CitY~'o.bd ), Phone2!1.J-1-.1..3b
Supervisor Llcense Number Ib2hS
lfj~/- ,?-
Constr Contr. Number 03&4-Q
q -I-ql
Expiration Date
Expiration Date
Signature of Supervising Electrician
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Ovners Name ~\r _ lMQ.ili f(\ iLll .J
Address..3~g~ 5' R.04\~ ~a\. .
City.J:ui(l (1\-QJl LPhone331-?l11k3
OIlNER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners' Signature:
DATE: -;7-//-0/
RECEIPT II: X'~'Y?
RECEIVED BY: /4~.
. 'P'
Ci ty Job Number '9 /<:?B /~
3. COMPLETE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.' 0 5Q,.QO
$ 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 volts
0,
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see flB"
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
50,00
1~Q
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