HomeMy WebLinkAboutPermit Electrical 1991-1-4
01/03/91
.
"j;jB,
225 FIFTD STREET
.SPRINGFIELn, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759.
1 ~ LOCATION OF .INSTALLATION
1920 OLuGl.ni.c. BLvd.
ELECTRICAL PERKrr APPLICATION
City Job Number C{j/Y) I~
. -
3.
COMPLETE FEE SCDEDULE BELOV
LEGAL DESCRIPTION
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
JOB DESCRIPTION
Add ne.w c.i.I1.c.ui.t.
Pe'rmi ts are non-transferable and expire
if work is not started within 180 days
of fssuance or if work is. suspen!led for
180 days.
2. CONTRACTOR INSTALLATI~N ONLY B.
Electrical Contractor Be.ac.on {'le.c.il1.i.c.
Address 2585 Roo<>e.ve.li Blvd.
Ci ty Euoene OR Phone
461-0291
34855
Supervisor License Number
Expi ra t ion Da'te
10/01/91
38497
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date 01/10/91
(i.n pl1.oc.e.<><> ot ge.~ng l1.e.ne.wid)
Signa.tu :f :a:...ing Electrician
9//11 . IbHNSEN '. D.
Owner ame Snn.inoL.ie.Ld flaLL
Address 1920 Olglllpi.c. Blvd.
Ci ty 5 pl1.i.ngti.e.J.d Phone 726" 1567
01lNER INSTALLATION'
The installation is being made on
property'I own which is not intended
for sale, lease or rent.
. 1500 sq. ft. or less
Each additional 500
sq. ft or portion
thereof .
Each Manuf'd Home or
Modular Dwelling
Service'or Feeder
Items
Cost
'Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders Cio Branch Circuits
included). Installation, Alterations
or .Relocation:
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ .60.00
$ 90.00'
$130.00.
$300.00
. $ 35.00
$ 35.00
$ 40.00
$ 80.00
see "B"
above
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
200 amps or less
201 amps to 400 amps
Over 401 to' 600 amps'
Over 600 amps or'IOOO volts
Branch Ci rcuits
New; ~;teration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
1
$ 35.00 35;00
$.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
Owners Signature:
~A~~~------r:2f -y;-
RECEln ,: . ,4. _ I'-{O~
RECEIVED.BY: (~I'J IA_) .-
35.00
1.75
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