HomeMy WebLinkAboutPermit Electrical 1991-9-18
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOCATIONOFINSTALLATION
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JOB DESCRIPTION
MOve . GU'TC-6-;:::
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
Supervisor
Constr
Signature of Supervising Electrician
Owners Nanie
"...', D.
CI94~VIf~If1:Y '7c72?~-
CeP/ e-;V/I///9-z..;
Address / //t:.
. City (S?~FL)
Phone <:;:2
. . OWER' INSTALLATION ,
'The installation is being m~de ~n
property I own which is not intended
for sale, lease or rent.
Owners Signature:
,f1, ~"." .
~~~;-~7;87t:J()~------------
RECEIPT#: "':' Z/ 5,:)':5
RECEIVED DY: lUt-~ _
....
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 am'ps to 400 8:mps
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 Fe~ders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 40.00
$ 55~00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
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3~ -
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. O~e Circuit / $ 35.00
Each Addi.tional
Circuit or with Service
. or F~ederPermit $ 2.00
E.Mis~ellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5.. SUBTOTAL OF ABOVE .
5% S ta te Surcharge .
TOTAL
not included)
$ 40.00
$.40.00
$ 20.00
$ 36.00
35,00
1,"75
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