HomeMy WebLinkAboutPermit Electrical 1991-1-30
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
'1. LOCATION OF INSTALLATION
'2. '?-.Cf( ,Rel#~r-Il/ S r1 S,'O.r/'~CIi- pJ.tL
LEGAL DESCRI. PTION. '(\ .4^('1' ')
S'F 1) \" f)~~, f) c;J. ~ 'f\l)U
JOB DESCRIPTION
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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 da~s.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~ IN I\.JS [L'E,Cf/lfL
,Address 2 ( 0 oJ Ih.., LIS Of() / 'r C
City F i) {,. Cn..J ~
,Phone t: 9'7'- rIG z..-
Supervisor License Number ,'56 LlI ~
Expiration Date /0 ~ 1- 9/
Constr Contr. Number
12t/Cff
Expiration Date
!O-/-91
Signature of Supervising,Electrician
, ttJ/(J~~
'Owners Name J./6-n./k ;f'~daer
" ,
Address Z:3 c.r ( i3 ev b'Z--L. 0/ .:>,'
City ~tlrV6,c;tb() .Phone 7eff- 7309
OllNER INSTALLATION
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: ----~:(:)c:J.~~r--------------
RECEIPT I: ~ /'\~
RECEIVED BY: lYJAL AA...--J
I
ELECTRICAL PERMIT APP~CATION I -""
Ci ty Job Number ' ,q ( ()()l UJ
~
3. COMPLETE FEE SCHEDULE BELOV
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
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
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 ,"15"
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
, Signal Circui t or
limited energy panel
5.
$ 36.00
$ 36.00
$ 36.00
~~,q:J
,/, I J--':::"
~l().')~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL