HomeMy WebLinkAboutPermit Electrical 1991-10-2
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name, ~~ S;; ~ M / / A"_
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Address
City
Phone.
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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DATE: /6J -2 -7'1
RECEIPT i: 2. / 4 go
~CEIVED BY: ~~.
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City Job Number
CZ/L12 /
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
. thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.Branch Circuits
New, Alteration or Extension Per Panel
,
One Circuit ~ 35.00 ,~~~
Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5. -SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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