HomeMy WebLinkAboutPermit Electrical 1991-9-19
SI.nINGt:I~LO
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
QSI' eM/' fJ()//eet- fhfw~
,
LE~AL D.I'SCjUPTION
h~ t'aor(J.~ ae- a/If. a-)
/le4t n~ CAIT)
JOB DESCRIPTION
.JI~ Sav/ce ~ f1!..kI1te.
Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
Ci ty Job Number Cj II ( 0 Z-
3. COMPLETE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit,
Service Included:
Items Cost
Sum
1000 sq,ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dvelling
Service or Feeder $ 40.00
2. CONTRACTOR INSTALLATION ONLY B, Seryices or Feeders
L ~I -' Inst~ation, Alterations or
Electrical Contractor ~/Qd C::IGC(rk)IO~_ Relocation:
Address /~1 td.4d/x ~fv
4'O-$" -<g~
Ci ty. ..&a-~ Phone 'i?'f-3 - .??zz
Supervisor License Number /7,':? /."
Expiration Date /t/~~~
Constr Contr. Number ~-/3 C
Expiration Date
if - .(f;- - 92..
Signature of Supervising Electrician
.~ :;igd
Ovners Name
Address
City Phone
O\INER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: q-Iq- q/
RECEIPT #: c9.. L-.z l~,(j
RECEIVED BY: ~^0
./
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Recon'nec t Only
\
S 50.00 ..I::id
S 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000 volts
D, Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Nev, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~'
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or vith Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
no t included)
S 40.00
$ 40.00
$ 20.00
$ 36.00
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