HomeMy WebLinkAboutPermit Electrical 1990-10-31
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REOUEST:
OFFICE: 726-3759
97477
'726-3769
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
, JOB DESCRI~IO~ f . ., '-,9 L', M.._'_
~~~~~
Per~its a~ non-tran~erable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
....
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorc,kS POOnTI1"~1 tfm~..
, I
Address p.O. fur/. l4-g1...
City~t'DOrJ.l Phone_74/--:lJ.'A30
Supervisor License Number I b Z b S
Expiration Date 10 -1- q {)...,
Constr Contr. Number 10 -/4c
Expiration Date
10 - I -q I'
Si~e of~~erv~~ Electrician
t:/.A~g 70~
.....- O~ INSTA~~TION ~
Name
Address
City
Phone
The installation 'is being made on
property I o~n ~hich is not intended
for sale, lease or rent~
Ovners Signature:
DATE: /tP.;3'I'~~_
RECEIPT #: /~~.~ ~_
RECEIVED BY:, /~.-&~--.
I /> - ,.. - ----..,...- -
ELECTRICAL PERKIT APPLICATION
3.
,
Ci ty Job Number 9t:> n ~
COMPLETE FEE SCHEDULE BELOV 1<
Ne~ Residential-Single or
'."i-',."y p" '."'!" .",. . .
Service Included:
A.
Items Cost SUIn
1500 sq.ft. or less $ 85.00
Each additional 500 . .'
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular D~elling
Service or Feeder $ 35.00
B. Services or teeders (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
$ 80.00
$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
$ 35.00
$ 40.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
T~o to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
----I- $ 50.00
$ 15.00
So.oo
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lightin~ $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
5"0 . or-,
:2.50
.'i1.5'0