HomeMy WebLinkAboutPermit Electrical 1991-10-22 (2)
225 FIF"l'H STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1.
L9W\nO~F IN~TION _+-I-
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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~~1lC1rl
Address \t6':t ~nt'Q~) (\)\,Q It
City_CYj"(\O no, Phone oqg, .28:\0
Supervisor tfcense Number BD\'lCS
Expiration Date \(') . \ . q~
'constr Contr. Number 4~DCC:>D
Expiration Date
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~ners NaG~\tt) t:\\ -a}Ao 0) _ D.
Address q-\9> ~~f\~ tQ n
City ~~ Phone ~~ -'W
OIINER 'r~JALLATION
The installation is being made on
property I own which is not intended
for sale. lease or rent.
Owners Signature:
-----J"';-~---- ' .
DATE: \ \J '1~(L . U. \
RECEIPT II: '~, ,..:J\lolo \
RECEIVED BY: \ )n\ t"\Yf J1 '
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling uni t.
Service Included:
Items Cost Sum
1000 sq.ft. or less \ $ 85.00 5~
Each additional 500
sq. ft or portion 4 \i2D
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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 \
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
40
$ 40.00
$ 55.00
$ 80.00
see "Bft
above
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
S 36.00
, '?JC:/s)
G.HS
lY4.N~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL