HomeMy WebLinkAboutPermit Electrical 1991-3-4
225 <""u STREET
. '. . SPRINGFIELD, OREGON 97477
. INSPECTION REQUEST: .726-3769
OFFICE: .726-3759
, .. JOB DESCRIPTION
.s Ie....) (r<=:,-..JT7 J/ ')e=:
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRAClOR INSTALLATION ONLY B.
Electrical Contractor~~j.~~77~\'~lIl~
Address IJ/?P'Jr))( ~.31
-
City~~
Phone~~(.,t~ 11o?1
Supervisor License Number ~~ .~
.~. Expiration Date /0 1<1~
. . ,
.". 'Constr Contr. Number. _~'l?{'""){"') f
Expir.ation Date /0 !q/
Signature of Supervising Electrician
7~~jf)j~
Owners Nam~ApR-F:At.m") v:: A""'''''
.. . -
Address ./)(";h /Y)Au.:::) Sr.
(:i ty :::5pF7 A. . Phone.:J5l-;. s7t./L.
. OVNER INSTALLATION
The.installation is being. made on
property. I.own which is .not.intended
. for sale, lease or rent.
OWners Siitnature:.
DATE' 3':':4 -'1/
. - - --..l.
. RECEIPl' I: tit ?-:,q-z.,
RECEIVED BY: (.c~ ..~
/ d'-..7- '-'
.,
ELECTRICAL PERHIT APPLICATION
. City Job.Number' q 10 i IS
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
. Multi-Family per dwelling unit.
Service Included:
Items Cost
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
Services or Feeders (10 Branch.Circuits
.included). Installation, Alterations .
or Relocation:
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
$ 90.00
$130.00
$300.00
$ 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 volts
D. Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit
. . Two. to ten Circui ts
Each. Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$15.00
E; Miscellaneous (Service/feeder not included).
-Each installation .
Pump or irrigation $ 36.00
Sign/Outline Lighting--4-- $.36.00 ~~,/n
. Signal Ci rcuit or . . ..
limited. energy panel $ 36.00
Rlo .CP
I,!\U,
..~-. . S<()
5.
'--y"
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL