HomeMy WebLinkAboutPermit Electrical 1991-9-9
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225 FIFTH STREET jfh:s"~~-""--;"' .' <,~'iO ..,;:",..:~f,,~:\~,,;'~ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 9741;1::-::':.'~"" . (\(\",'""),
. INSPECTION REQUEST: 726~3769. ~._~_,,-"'~= Ci tyJob Number q t} / 3',cO
OFFICE: 726-3759 .'. , ':"._'~ -
. e.'; ,q E\,:~ \. ~ . ,COMPLETE FEE. SCHEDULE BELOV
1. LOCATION OF 'INSTALLAI:ro~ ,..., 2:';;i:::'"~:r[;-'..1.l~.,..-== ..-"-'"'-- .
~ ~ W. CF"~ ~#/~c A. New Residential-Single or
Multi~Family per dwelling unit.
LEGAL.DESCRIPTION Service Included:
17-~3.2?-$"'3_ "'~ Items Cost Sum
~;
JOB DESCRIPTION
~/~? ~e-c-/'" '"
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, ~~~7'"'........v ~.
Address ?t::?-,~ "3?G'~
Ci ty ~C41f'E;Y~, Phone ~y::<' IX~
Supervisor License Number 431 sr
Expiration pate /0/' /Cf3
Constr Contr. Number ~Lj~ J~'
Expiration Date 31q /1~
Signa ture of Supervising Elec trician .
~J- f (Y}~./~ D.
Owners Nanie~r~#~ C~~....'~
Address~ ~~. \ ?,QPJ .
. - I" ti-,-
City n l)t~ j Phone J;;I}-qld) \
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~----C1~L1-~t----~~~---~---------
RECEIPT #: k-\I A/~L~U
RECEIVED BY: l rzJV'-Z~
1000 sq.ft. or less
. Each addi tional. 500
sq. ft or portion
thereo.f
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$'15.00
$ 40.00
B.
Services or Feeders
Installation, Alteritions 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
Branch Circuits
New,Alteration or Ext~nsion Per Panel
One Ci.rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ . 2. 00
E. Miscellaneous (Service/feeder not included)
~Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting -- $ 40.00 Y4?
. Limited Energy/Res $ 20;00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State.Surcharge
TOTAL
up. c<:>
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