Loading...
HomeMy WebLinkAboutPermit Electrical 1991-6-5 225 FIFTH STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUEST: 726-3769 OFFICE: 726-3759 1. LOCATION OF INSTALLATION / '7'fs Jlsl c;dJ. c~GAL !>ES~ION ':).J2 f V l c:.e. C:{~c. .€.. l\ J~~~~\O~ cwt()() 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 B. Electrical Contractor tll1.cCL,..,...,,?/:~ f!.:,...--fW . Address P.o(~"'-O 1/ ( City 10ll..J +..J<.,(\/d l-e . Phone / </(;.-(( otis/' Supervisor License Number -3 :; 7' c: S Expiration Date /0/1 / / 7.-- / / Constr Contra Number GSDo.~ Expiration Date ~ ~ 3/ 9 5 ! I' Si~ture of sup~rvisin~ Electrician .K~/~M~~ ' " Owners Name ' /:: ~ 5c.. ~ e.e if Address/ 9f/.'S-- 1-1 ~ Ci ty -5 p -Pdl. ' Phone ,mINER INSTALLATION The installation is being. made on property I own which is not intended for sale, lease or rent. Owners Signature: .. =~;-~~~-~r{~~ RECEIVED \4: c'/, { [lA, -- ELECTRICAL PERMIT APP~, AT.[~ION() Ci ty Job Number L1 \ ~ 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 $ 15.00 $ 35.00 Services or Feeders (10 Branch Circuits included). Installation, Alterations or Relocation: 100 amps or less ,/$'35.00, 101 amps to 400 amps V $ 60.00 L 0 '>t:- 401 amps to 600 amps $ 90.00 601 amps to 1000 amps $130.00 Over 1000 amps/volts $300.00 Reconnect Only $ 35.00 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 volts $ 35.00 $ 40.00 $ 80.00 see "B" 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 -Each in~tallation Pump or irrigation Sign/Outline Lighting Signal Circuit or limited energy panel not included) $ 36.00 $ 36.00 $ 36.00 5. SUBTOTAL OF ABOVE 5% State Surcharge TOTAL (,y() (~ -'> e>oP' ...:..s ""- L~~ e.