HomeMy WebLinkAboutPermit Electrical 1991-1-23 (2)
225 ........ 1'1 STREET
. 'SPRINGFIELD, OREGON 97477
. INSPECTION REQUEST: 726-3769 .
OFFICE: . 726-3759
1. LOCATION OF INSTALLATION.
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LEGAL DESCRIPTION
I'i? fJ'ZOC) 2-1 n 1'72/0
JOB DESCRIPTION.
S?'R-6.
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
Electrical Contractor f2 t'VjV\oIJs SI(C,
Address 27'82. c.eV\~o.-e 6) lid.
Ci ty SW~1b\CL ,Phone. 343 -7297
(.
Supervisor License Number Z620..s
:' Expiration Date (0 -:7/
Constr Contr. Number /7z-!52-
Expiration Date /0'7/
.Si~ture of S~ising Electrician
~d/~~h '
. ",f!ers. Name =~ (tp .. cJ& V ~
Addr~ss .
qty
Phone
. OWER INSTALLATION
The installation is being, made on
property I own which is not, intended
for sale, lease or rent.
Owners Signature:'
'. DATE:_ j- I.-?i -'/ /
. 1lt....un I: 1Cf.../7t.ii
RECEIVED BY: .Lu~
I
ELECTRICAL PERMIT APPLICATION
. City Job Number
Qo/z61
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof,
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
! $ 85.00 2'~, 0() ,
. $ 15.00 . '
$ 35.00
B. 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
60l.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
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~ Miscellaneous (Service/feeder not included) ..
-Each installation
Pump or irrigation.
Sign/Outline Lighting
. Signal Circuit or
limited,energy panel
$ 36.00
$ 36.00 '
.$ 36.00
5. SUBTOTAL OF ABOVE .
5% State Surcharge
TOTAL
65-00
<f-25
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