HomeMy WebLinkAboutPermit Electrical 1991-8-23 (2)
SJ."INCt=IELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number q /c;u7r~9
OFFICE: 726-3759
1.
LOCATION .m:' INSTALLATION
B 7r<.,<I/-.u. t.c.?Q ~
LEGAL DESCRIPTION
J...ar # 3D.. KO'Nh.w I?s~f.~
JOB DESCRIPTION
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
Electrical Contractor ~AIlO
Address 71700, \)a\~I'r7 JIlu.c:v
~L.€c-
~~~.
City(~"-f\~e 61lo-Jp Phone 9<h.- 3Go<rz.-
Supervisor License Number '7-70l?S
Expiration Date "'3./QZ-
Constr Contr. Number 'Zo- 17f:,c-
Expiration Date :s~~
Sign~ of supervi~ng Electrician
~~L~ A.~.J),
Owners Na~e f~ 11 ~
Address .l. fi ~ ~ I'1l:f.(,~ r P ~
City
J"'-~f.t't
~ -3/1(0
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE: ~~ 'L3-1qq-~'----=----
RECEIPT I: <11 fl Jr._.-~YD
RECEIVED BY: t:\\L.~
3. COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less / $ 85.00 11' -s: 4'C>
Each additional 500
sq. ft or portion '7 II&: 617
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
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
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
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
17p'.-=
~.S.c>
17~.<:'-=