HomeMy WebLinkAboutPermit Electrical 1990-11-30
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225 FIFTR STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. \ cSnRN rfQ I~()\iON
IELD
ELECTRICAL PERIIIT APPLICATION
City Job Number q-()142lJ
3.
COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
\ ,?\()3rYJ, \ Q () '?-,l 0 rr~
~JOB Ip,lSCRIPTION{o q _~.^.i 1500 sq.ft. or less
\ 1\(\ IllX\ [)() ;{', Q~J)Q.nlWV Each addi t10nal 500
\ \ ' ,- ~~ sq. ft or port1on
Pe m1ts are non-transferable and expire thereof
if work is not started with1n 180 days Each Manuf'd Home or
of issuance or if work 1S suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY
Items Cost
Sum
$ 85.00
$ 15.00
$ 35.00
Electrical Contractor
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Reloca tion:
Address
C1ty
Phone
Supervisor License Number
Explra tion Da te
100 amps or less
101 amps to 400 amps,
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
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expirat10n Date
Signature of Supervising Electrician
Owners Name \(;'{\~)\ \:In?::,(1()
Address \ tlrY) \.'4 1\\ f\ D. 0 _
Ci ty ~ rt Phone r4l-St n
OVNER INSTALLATION
The 1nstallat1on is being made on E.
property I own which is not intended
for sale, lease or rent.
~ers Slgnature:
(C\.f!:!2~_2_Ji~~:!- 5.
DATE: 11- 30- 90 !
RECEIPT i: \. ,~ \ Xk"'~
RECEIVED BY: ~ \ L"\ 1\ "
'--" . - --
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or 1rrigation
Sign/Outl1ne Lighting
Signal Circuit or
limited energy panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
no t included)
$ 36.00
$ 36.00
$ 36.00
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