HomeMy WebLinkAboutPermit Electrical 1991-2-5
225 PIPTB STREET ELECTRICAL PERMIT APPLICATION
'SPRINGPIELD,.OREGON 97477
.INSPECTION REQuEST: 726-3769 City Job Niunber q / CJ862-
OPPICE: .726-3759 ..-
1.
l,OCATION 9P INSTALLATION
. /3$''1 0 k~qAlAl<t-
LEGAL DESCRIPTION .
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.' JOB DESCRIE:qON.
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I:
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 B.
Electrical contractor~,~ ~
. Address.7'11o.l '\)e:t...4l'\-1 llAu.&i ~Ct\ D&.
City (l ~7P\(,,, GI\.u.e, Phone ctLf7..-- 3~'7 L
Supervisor Licen~e Number ~~O~~
Exptl'8 tion Date
'z..~ q 'Z-
Constr Contr. Number
~ l?'8' s "
Expiration Date
-Z- - ""t"Z-
. SiO:::. rpt:::Ilc~an
. ,\ - . -
. Owners Name ME-
Addr\lss
'.
City Phone
OWER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
.'. DATE: rY. ~ .L{f ----
RECEIPT I. ~t/..f'^
RECEIVED BY: ,_ J)~ _ U .
tidJ
3. COMPLETE PEE SCBEDULE BELOV
A.
New Residential-SiDgle or
Multi-Pamily per dwelliDg unit.
Service Included:
Items Cost
Sum
1500 sq;ft. or less .......-- $ 85.00 ~.; gQ
Each additional 500 -
sq. ft or portion
thereof -L $ 15.00 /5fLD
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
$ 35.00
$ 40.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
Each Addt'l teD or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigatioD
Sign/Outline Lighting
. SigDal Circui t or
limited energy panel ~
not included)
5.
$ 36.00
$ 36.00
$ 36.00 ~~
{8Lp.DO
=:rd
SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL