HomeMy WebLinkAboutPermit Electrical 1991-2-6
~
225 r~r~o ~~A66.
SPRINGFIELD, OREGON 97477
. .INSPECTION REQUEST: .726-3769
OFFICE: .726-3759
'1. LOCATION OF INSTALLATION.
1..'B'"i'>.l M""'-' "Sr_
LEGAL DESCRIPTION
A.<V\8>..\ G.~ .
JOB DESCRIPTION
6.eu-t'-' <.. S I ~...l I......... ........<.-A.,-. 0,.-1
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
"
ELECTRICAL PERHIT APPLICATION
. ~. ;.
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
2. CONTRACTOR INSTALLATION ONLY D. Services or Feeders (10 Branch Circuits
included), Installation, Alterations .
Electrical Contractor -j~ '7,....l<?'1<,f6N\<, or Relocation:
..Address lloi~ \J'o.J. 1M Ate.
Ci ty 6u"G-16
61Z.Phone '-18'-1-,-\0'1'2.
Supervisor License Number 2.D - "2.<;, c:. L <;
:.. Expiration Date
tU:-I-'\\
. .Constr Contr. Number
f, 7.-'il (1...
"Expiration Date 1- \ - '\ 1... .
Signa lure of Supervising. Elec trician
. - ;. ~~. {J"",~
.{/'
. .owners Name
Address.
City
Phone
. OVNER INSTALLATION
.The installation is being. made on
property I own which is not. intended
. for sale, lease or rent.
OWners Signature:
DATE:_ _. ;;;;'-~ ~/
. R..."6U'!" If: /q~9.
RECEIVED BY: .-"': 7~----
.t:2:&.-
-'
....
.
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
$ 35.00
$ 40.00
$ 80,00
see liB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
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 J $ 36.06. .~
Signal Circuit or
limi ted energy panel $ 36.00 .
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
'%-.
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