HomeMy WebLinkAboutPermit Electrical 1991-4-30 (2)
225 FIFTH STREET
'SPRINGFIELD, OREGON 97417
, INSPECrION REQUEST: ,726-3769'
OFFICE: ,726-3759
1. LO<;6TION Q! lNST;;;O'?(t
, ht:Ll )1(1 ,
LEGAL DRSCRIl'TION
" JOB I}El)CRIPTION
SF I\J010 ~T~(J
"
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. CONTRACfOR INSTALLATION ONLY
Electrical Contractorl-.tl1llf':\n nr! '
Address iq -]()':l., \). \/ . :",{\hCrJ1 ,eeL
CityO ,(,('{)\P. ,Phone Q4-Q-'9i.P12
, Supervisor License Number 21D%.0 '
ID / I /q J
Constr Contr. Number 3'8 '8 ~(/")
Expiration Date ::J/Q)q~
, .
, Expiration Date
Sign~ of Supervis~g Electrician
'',V, . 1\, ~~...J "
Do. ..J'
Owners Nam~ ~ -tu0J, Q.., ~
" Addr~ssi-.rpq \~J)W-ol.Ltw
City S XJ, ',", Phone
,OVNER I~STALLATION
The 'installation is being, made on
property, I own which is ,not,intended
, for sale, lease or rent.
Owners Signature:'
DATE: 4.,-=~l)''1I. "In'-
RECRIPT I: c3f0,~ u.. O':::J.J ~~
RECEIVED BY: 'J' -'
I
ELEcrRlCAL PERHIT APPLICATION
. '
, City Job Number , q tn8f1S
3. COHPLBTB FEE SCUEDULB BELOV
A. New Residential-Single or ,
, Multl-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq;ft. or less ,~
Each additional 500
sq. ft or portion
thereof . -4-
Each Manuf'd Home or
Modular Dwelling,
Service or Feeder
$ 85.00' 'eas
$ 15.00, · \,5
$ 35.00
B. Services or Feeders (10 Branch'Circuits
'included). Installation, 'Alterations
or Relocation:
lOO 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 \ $ 35.00 3~
201 amps to 400 amps, $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" 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,
$ 50.00
$15.00
E; Hiscellaneous (Service/feeder not included)'
-Each 'installation
Pump or irrigation,
Sign/Outline Lighting
, Signal Circui t or
limited,energy, panel'
$ 36.00
$ 36.00
5.
$ 36.00
\ ~S r;;o
t..a..cL:5
\q I.IS
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL