Loading...
HomeMy WebLinkAboutPermit Electrical 1991-1-18 225 FIFTH ,)~"""'~ . SPRINGFIELD, OREGON 97477 . INSPECrION REQUEST: 726-3769 OFFICE: . 726-3759 1. -,~~TION OF INSrAL4TION ~u D Sl1,tld~ (~ . LEGAL DESCRIPTION . .....J 7()Q7..lo1;z., -/){)<-/cN .' JOB DESCRIPTION DfAnI-eXJ .- VU,w ~rl/:?-<" 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 8uI {d.ax;.. sltt., Address...z:q ~ Movt-vn e.. . Cityf5u ~d. .Phone LfX' 81722... . Supervisor License Number 2-110 S Expiration Date 10.., I -12- Constr Contr. Number ()Lj z'1l. Expiration Date /2- -fO -:9 ( S~~tureof ~trician ,1~,~ V" b e,JD "~... ...,. . . Owners Name .3-1-... ~ r en+ ~ c;, Address 700 5e IA ~.(' /lL City lS,J,.(.~N!..,.." Phone1:tJi? -122i5 OVNER INSTALLATION The'installation is being. made on property. I own which is .not.intended . for sale, lease or rent. Owners Signature: " " DATE: {--}? -.'if _ RECEIPT I: I !.trIlL.--' RECEIVED BY: '(I IAA/'o.-P / I ELECTRICAL PERMIT APPLICATION City Job . Number UI nl 013 . 3. COHPLETE FEE SCDEDULE BELOV A. New Residential-Single or Hulti-Family per dwelling unit. Service Included: . .. Items Cost Sum 1500 sq;ft. or less ~ Each additional 500 sq. ft or portion thereof Each.Hanuf'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 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 $ 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 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 ( 70.6D 5?".7J .L79. ~)