HomeMy WebLinkAboutPermit Electrical 1991-10-16
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SPrllNGFIELO
2. CONTRACTOR INSTALLATION ONLY B.
Electrical ContractorL.~. 6R'ft&If1t:u1.IjJL.
AddressW~ WGST"011 *6e.r
Ci tyS.))Z1 tVGF'IIrt-~ Phone 1 Lfl'f003'b
Supervisor License Number :)~~q5
Expiration Date (of, {q L
'cOrlstr Contr. Number ~0q0
Signature of Supervising Electrician
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:ners Name (f) W l~(~ ~/'r2-0dUftD.
Address ~ 1 00 ~m ~
City6 pl(~,~ Phon.7lf(o, l*~
OVNER INSTALLATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATIO~OF INSTALLATION
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--7' JO!,J DESCRIPTI~1l1l f\
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L)(~e~~t~:l non-transferable and expire
if work is not started within 180 days
.~f issuance or if work is suspended for
.180 days.
Expiration Date
I ~'I~ .q,
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE: --7()-~-ttjj, .
RECEIPT #:
RECEIVED BY:(" D
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ELECTRICALPERHIT APPLICATION
City Job Number n \ f'\ r ",Q 17.
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3. COMPLETE FEE SCHEDULE BELOVq' 11{of-
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
.$ 40.00
.
Services or Feeders
Installation, Alterations 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
I
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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Branch Circuits
New, Alteration or Extension Per Pan~l
. One Cf.rcui t
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
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
300,00
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