HomeMy WebLinkAboutPermit Electrical 1991-10-21
SI"IINCt-'IELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. ()LOCATWN OF INSTM-LAT~ON ,-
1'1..<61 f"L0111.0IL ral'eAtl..O~ c .
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorL..R. .bf.a)~~.
Address(P2 U)PIlf- II Q" ~
Ci ty~~A_ Phone 1 if1-Ud.8
Supervisor Llcense Number ~4qJ,tJ
JOII!C1J.,
Expiration Date
Constr Contr. Number ~~qq
Expiration Date !d,II~ jq J
,
Signature of Supervising Electrician
-d~ 4+
Ovners Name ~ ~
Address /~Z 1 11 ~&eJw~ _ C,
City Sp~l~~W1d Phone 1)'(P'5/11
OIlNER INSTliLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~--------~~=~n--~-~~,-------
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3. COMPLETE FEE SCHEDULE BELOII
A, Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
It ems Cos t
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
S 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 50.00
S 60.00
$100.00
$130.00
$300,00
S 40.00
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
$ 40.00
S 55.00 .
S 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci-rcuit
Each Additional
Circuit or vith Service
or Feeder Permit
S 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting--L--
Limited Energy/Res
Limited Energy/Comm
4{).(J)
no t included)
5.
$
$
$
$
4{), OD
.,/ , Of)
t./-;.;.. (1)
40.00
40.00
20.00
36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL