HomeMy WebLinkAboutPermit Electrical 1991-4-18
J~.'
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. . LOCATION OF INSTALLATION", J
J/)7 A/O~N ~/I/GC=- n\ f-.
LEGAL DES~ON. ^ r I I Q
li ()?, ~ l 0 I'd-... 1.,..2l1...LJ...1
JOB DESCRIPTION .
REt11tJVlE C, /. f}1oAJ/toL'IA/& e;&Vlf'
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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor L.1f. /!lOUIS E/ikr
Address_487, SJ.lELL€.v <,:re.
r
City ~PFr:J.
Phone /41-0g-11
Supervisor License Number
BoB-S
Expiration Date
Constr Contr, Number ::1-0-'37 '-
Expiration Date
-\",Signa ure of Supervis~ng Jlectridan
y~~~ .
Name o\t ~ht(t&'C ttW
Add""_~ ~~~
Ci ty 9ty I ~ Phone
The inst~llation is being made on.
property I own which is not intended
for sale, lease or rent,
Owners Signature:
~~~~~--~~'C~---~~-------------
RECEIPT II: \ v.... 11\ Y.
RECEIVED BY: r-\(,\~~
'-'-l \... ....
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number l..~q \()'7l '\ \
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
B.
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
$ 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 --'--
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00 '3'5 ~
$ 50.00
$ 15,00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36,00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,0"-
':3,. -
I -"
:".c:.. ,'75