HomeMy WebLinkAboutPermit Electrical 1991-8-19
S...IINGFIELU
225 It-UUl STREET
'SPRINGPIBLD, OREGON 97477
, INSPECTION REQUEST: 726-3769
OFFICE: '726-3759
1. ~~N ,fF ~'ltt~~~ 0 Q:J
LEGAL DESCRIPTION
I
ELECTRICAL PERMIT APPLICATION
. City Job Number' q IO{ ()2- '7
3. COHPLETE FEE SCBEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Sum
~~S~PTIO~ r1 1500 sq;ft. or less I $ 85.00 'f{5'".oo
'-.: ~ k)\ QM Q ) Each additional 500
sq. ft or portion (),' tJCJ
Permits are non-transferable and expire thereof I $ 15.00
if work is not started within 180 days Each Hanuf'd Home or
of issuance or if work is suspended for Hodular Dwelling
180 dllys. Service or Feeder $ 35.00
2. CONTRACTOR INSTALLATION ONLY, B. Services or Feeders (10 Branch'Circuits
\~ ' ^,--\ included). Installation, Alterations
Electrical Contractor '\ '\~ ~,';v-, J'{ 1\ or Relocation: '.
Address~l\()6 \:\\LS~tto.L~o amps or less $ 35.00,
(\ r "- - 'G4"r-. Q f\ 101 amps to 400 amps $ 60.00 .
City'---~\tl\.Y2 .Phonerh.. )lOlc::A 401 amps to 600 amps $ 90.00
. ""ACe:: 601 amps to 1000 amps $130.00
Supervisor License Number c:Y'/{~ Over 1000 amps/volts $300.00
Reconnect Only . $ 35.00
, Signatu,N orf super:~ing Electrid~
~~~,~",-Q
".owners Name~ 1: 11 1 h Q n
Addr~ss eqq ~ . 'N\. a t-n\ \ \)_~
City , t\.~Jho~e 48'5-0\'1(0.
OVNER INST':d.uTION'
Expiration Date\D. I~.
'Constr Contr. Number ~"2i..n
6).aClV
Expiration Date
The installation is being. made on
property, I own which is not,intended
, for sale, lease or rent:
Owners Sign~ture:
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less I $ 35.00 1'7: 60
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 oT'Extension Per Panel
One Circuit
. Two. to ten Circuits .'
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E~ Hiscellaneous (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.
DATE: R. {Cf . q I _ _ ./
RECEIPT I: ,f--....{ ~.. c:Orr >>:a::::
RECEIVED BY: 1.:::7j.,.( l~ 1
-
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
0", CJ (/
6. '?!T
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