HomeMy WebLinkAboutPermit Electrical 1991-9-30
225 FIFTH STREET
SPRINGFIEW, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726~3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DE~CRIPTION . ,
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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
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr ContrA Number
Expiration Dat.e
>.
Signature of Supervising Electrician
Owners Name D~d~~ H..;t?~
Address ~9. /~~
_ . s. -
Ci ty .5P~, t::>B -. Phone 77"6-- 't''9~7
, -
OVNER INSTALLATION
The installation is being made on
property I own. which is not intended
for sale, lease or rent.
O~ Signature;' . . ,
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RECEIVED BY\..\7" )1/ iJ..\~~~ --
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City Job Number ~/'~~~
3. COMPLETE FEE SCHEDULE BELOV'
. A.
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 I
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
y'~. eX>
above
New, Alteration or Extension Per Panel.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$2.00
not included)
MiscellaneouS '(Service/feeder
~Eachinstallation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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