HomeMy WebLinkAboutPermit Electrical 1991-11-12
SPfUNGt=IELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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~ JOB DESCRIPTION
,",)~ R ~J:).y .
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
Contractor
/
City
~
Supervisor
.Expiration Date
,
Signature of Supervising Electrician
Cit}'" Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
ReconnectOn+y
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps.
Over 600 amps or 1000 volts
1000 sq. ft. or less /' $ 85.00 ~~~
Each additional 500
sq. ft or portion
thereof -:z. $ 15.00 ~c>._b
Each Manuf'd Home or
,Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, 'Alterations or
Relocation:
E~
5.
SUBTOTAL :OF ABOVE
5% State Surcharge
TOTAL
$ 50.00
$60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see liB"
+0
above
Owners Na~e (-1(Q_ora~ (\01\ll~D. Branch Circu~ts
Y1~ [\() ~.(j ~L~ ~1:) New, Alteratlon or Extension Per Panel
Address'l!(_ ~n . _ f\ f.)" \ -Kj) . .
~1 r{) --z./)/. 01't9'/...... One CircUlt $ 35.00
City\':' _ .. I. ~ Phonef'::Ytcr-rUOI.L/ Each Additional ,
- -. Circui t or wi th Service
OWER i ALLATION or Feeder Permi t $ . 2.00
The installation is being made on
property I own which is not intended
for sale, lease or rent.
. . ,.
Owners
Signature: '
~J t 4
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D E:
RECEIPT I:
RECEIVED BY:
Miscellaneous (Service/feedet
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limi ted Energy/Res'
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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