HomeMy WebLinkAboutPermit Electrical 1990-1-7
SPR.IELO ......"",.."
200 amps or less
201 amps to 400 amps
~zat/ of Supervising Electrician Over 401 to' 600 amps'
'. ,',~/7~""7./...,_~ Over 600 amps or'1000 volts
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l' - \""\ ~,~ _ ~ -11"\.1...,' I iZ'::.r..D. . Branch Circui ts
Owners Name ^' Xl '\i'1 Jj V 't I 11~1 V
Nev, ~lteration or Extension
Address
225 FIFTn STREET
,SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1 ~ . . Lll..CATION OF ,IN~LAnON ~
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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 fssuance or if work is, suspenlled for
180 days.
2. CONTRACTOR INSTALLAn9N ONLY
Electrical Contractor (\."\ ~
Address \b ~ l4ffi
City~,VL Fhone'14\~Qd~
Supervisor License Number ~ lQ~(O ~
Expiration Da'te In. \. q'),
Constr Contr. Number C\..~"\~
q. \.q,
Expira tion Date
City Phone
OWER INSTALLAnON
The installation is being made on
property .1 own which is not intended
for. sale, lease or rent.
Owners Signature:
~~~;,~--------r:-'7 -:- c.JU ------------
RECEIPT I: / _ ('-1t').~( 0
RECEIVED BY: . ( '-1f'/ Lf~ }
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3.
ELECTRICAL PERKrr APPLICATION
Ci ty Job Number R=\{')lo 1 cf\
COMPLETE FEE SCDEDULE BELOY
A.
Nev Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
'Sum
1500 sq.ft. or. less
Each additional 500
sq. ft or portion
thereof '
Each Hanuf'd Home or
Modular Dvelling
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, X
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
.1 aU
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 35.00
$.40.00
$ 80.00
see "B"
above
Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
Xl $.50.00 ~)
$ 15.00
E. Miscellaneous (Service/feeder
-Each installation '
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or -----
limited energy panel
not included)
$ 36.00
$ 36.00
5.
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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