HomeMy WebLinkAboutPermit Electrical 1991-4-22
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPEClION REQUEST: : 726-3769
, 'OFFICE: 726-3759
1, LOCATION OF INSTALLA'UpN
, 17)..1u 5(.0175 MJJJwu k...v
LEGAL DESCRIPTION ,....... ,4"""',
IV\ A-l(l 1/ --r 4-)( un ~ 1JIA-'
JOB DESCRIPTION '
fV\1.h'\~ ~P, EI-e.c.+viG
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. CONTRAClOR INSTALLATION ONLY
Electrical contractor~, J;I.LL-fy'l~
Address <;l ~5 ' U.J . ~1 (/0/
City &<;"t'"lt/e.. Phone .31/<1- I~DO
Supervisor License Number CJ'I5' ~.5,
Expiration Date I O...q /
Constr Contr. Number :;:1..". ifsoc..
, Expiration Date
Itr 9"/
ELECTRICAL pERKIT APP~CATION
Ci ty Job NUlllber q \ ()~l oR
3. ' COMPLETE FEE SCHEDULE BELOV
" .
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A. New Residential-Single, or
Multi-Family per dwelling unit.
Service Included:
, Items
1500 sq.ft. or less
Each additional 500
sq. ft or portion,
'thereof
Each Manuf'd Home or
Modular Dwelling
Service, or Feeder, '
"
Cost
Sum
$ 85.00
$ 15.00
"
~ '$ 35.00 70
B. 'Services or Feeders (10 Branch Circui,ts
included). Installation, Alterations
or Relocation:
100 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
$ 80;00
$130;00
$300.00
$ 35.00
....
C. Temporary Services,or Feeders '
Installation, ,Alteration or R~l!lcation
Signature of Supervising Electrician
W.dv ~.
, ~ D.
, O~ INSTALLATION i\... ' .
Name(;:;JnnJV)).Jf f)_JA.1Ji/~
AddressJ.lCrct .f) \l 0 r (U:; ,
City. TXJQ~ ,phonel0 <K~ 123
The insta11a~on is being made on E.
property 1 own which is not intended
for sale, lease or rent.
Owners Signa~ure:
~(f'
'DATE: -~~-~~ --------------
RECEIPT I: I _J I ~ - \ L4'X I (u ,
RECEIVED BY: C 1)" ( Jl.A_~.r-
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,uB" above
Branch Circui ts
New; Alteration or Extension Per Panel
Miscellaneous (Service/feeder not includei
-Bach installation '
Pump or "irrigation
'Sign/Outline Lighting
,Signal ',Circui t or;' , ,
limited 'energy panel
One Circuit "
Two to ten Circuits
Bach A4dt'l ten or' '
po~tion thereof '
.
, 5;
SUBTOTAL OF ABOVE
5% State Surcharge,
TOTAL
t
$ 35'.00 ~
$ 5,0. p~
$ 15.00
$ 36.,00
$ 36.00
$ 36.00
IO~'.OO
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