HomeMy WebLinkAboutPermit Electrical 1990-10-3
I
.
'-
SPRtlFIELO .., "
225 FIFTII STREET
SPRINGFIELD, OREGON 91477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
,,20 "i'S- <;",,-o-ff L.JJ.
10~~?JS0fS~N O~()l
JOB DESCRIP'p:ON
<~ 'i'Ji~C E.. e...\......u--'1 (7
.
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 INSTALLATI!)N ONLY
Electrical Contractor Il1t!t.....-z......,f,j-o..: .f(~i
Address AJ.~:~ ///
Ci ty ~,. f-f...oo:v.//...
Phone 7 '1C-ycyf
Supervisor License Number <~9t: 5'
Expiration Da'te /0 - / _ '7 2-
Constr Contr. Number c;:S-6e'<:;'"
Expiration Date D sf 131 eu
I I
Signature of Supervising Electrician
4/ -j'/r. ({)y.."{!::-__A
Owners Name ,T",,, ~-f ft.-r,,,; <, .
Address p'o '5'C <;'c_~ rf .ttJ. '
Ci ty S'a.f jJ
Phone
01lNER INSTALLATION'
The installation is being made on
property ,I own which is not intended
for sale, lease or rent.
Ovners Signature:
~
~A;Ei- I 0 ,-g~(A
RECEIn ,: I ~:;~I
RECEIVED BY: F7'\fM}.
ELECTRICAL PElu!rr APPLICATION
City Job Number q() / Q ( I
3.
COMPLETE PEE SCHEDULE BELOIl
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
B.
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or ,Relocation:
100 amps or less
101 amps to 400' amps --4--
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00L.Ql.l.
$ 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 "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 not included)
-Each installation .
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
$ 36.00,
$ 36.00
5.
$ 36.00
LoG ,00
~ Dr;
-4,{) =<; .C)d
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL '