HomeMy WebLinkAboutPermit Electrical 1991-9-9
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;'225 FIFTH STREET .,..~'),.".,A \ys,~~:;;~, \.l'-"~ELECTRICAL PERMIT APPLICATION
SPRINGFIELD,OREGON 97477 , ...; " e'" ", <"" ':.')" , "
INSPECTION REQUEST: 726,,,;3769"", " ~),( 1\\,' ,.- J",,_' d ty Job Number 9 ~/ Y''3'"2-..
OFFICE: 726-3759 " ' ~\L...?~,_'--'
~(\' TE FEE SCHEDULE BELOV
___, ,1. LOCATION OF INS]'ALLATION fA.. V\W\ _.-~...-' '
~th-=3 W" LE,H-/ ~~~~ gtR~idential-Single or
,-' Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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d:9B DES~IPTIO~
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Permi ts a~non:-transferable and expire,
if work is not started within 180 days
of issuance or if work is, suspended for
i80 days.
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Items
Cost
Sum
1000 sq. ft. or less
Each additional 500
sq.ft or portion
thereof
E~th Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY
B.
Services or Feeders
Installation, Alterations or
Relocation:
Electrical Contractor/~~z:;;;.N r~"
Address .J'~ ~' ?t:?~
Ci tYE"~~.,;.E Phone 3 Y<-{;6~
Supervisor License Number )C -43 7,S'I.
Expiration Date ~
laJL'jQ3
200 amps ~r 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
Constr Contr. Number).::' &4& 1<6
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date~
314/er:L
200 amps or less
201 amps to 400 amps
Over 401 to ~OOamps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
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Owners Nanie /E'.h"/e,,:,,~~'- 4-~~?5'
AddressQ()&'){ , \?l2-~
City-t:W 51 OXIG~one '4k=l-qld)\ '
, ,
Branch Circuits
New, Alteration or Extension Per Panel
OVNER INSTALLATION
One Ci.rcui t
Each Add,i t ional
Circuit or with Service
, or Feede~Permit
$ 35.00
$ 2.00
The installation is being-made on
property I own which is not intended
for sale, lease, ~i'reh t .
E. Miscellarteous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting ~$ 40.00 t.n::>
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
, Owners Signature:
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5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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