HomeMy WebLinkAboutPermit Electrical 1991-9-26
225 FIFTll STREET
SPRINGFIELD, OREGON 9~477
INSPECTION REQUEST: 726-3769 Ci,ty Job Number
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
/1J 100 Q s,-\1't.t:.:k
3. COMPLETE FEE' SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
\-l~0\~ ~?J:f:l
JOB DESCRIPTION '
S<dfV\Q:L ~,Qe.. ~~~
Permits are no~-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
Address
City
Phone
Supervisor License Number
Expiration Date
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 Dwelling
Service or Feeder $ 40.00
B.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 50. ci)
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Dat~ '
Signature of Supervising Electrician
Owners Name ~h k\;:"\<'\9d-Y'i~,
Address ~
, Ci ty Phone PJ<f& -t/-1tt2-
OVNER INSTALLATION
'The installation is being made on
property I own which is not intended
fors~le, lease or rent.
,own~er Signatur:: ~ J.' ?, ' "
'%1J? ~/b@h~1u "
--- ~-~--~--~-~--------~-~------------'
DATE: q- 2-<0 -9\, ,
...
RECEIPT' it: 7-1 Lf 3S
RECEIVED BY: .::J:::oloYl4-
'..
200 amps or less $ 40.00
201 amps ,to 400 amps $ 55.00
~ ~Over 401 to 600 amps $80.00
Over 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
'Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Ci.rcui t
Each'Additional
Circuit or with Service
, or Feeder Permit'
E.
5., SUBTOTAL OF ABOVE '
5% State Surcharge
TOTAL '
$ 35.00
$2.00
not included)
$ 40~00
$40.00
$ 20.00
$ 36.00
50,,00
2".50
5' 2-,50
I