HomeMy WebLinkAboutPermit Electrical 1991-3-13
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
',INSPEC'l'ION REQUEST: ,726-3769'
OFFICE: ,726-3759
1. LO~~ ~ ~\;:tT~\\<1 '
LEGAL DESCRIPTION
" JOB DE~CRIPTION '
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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\:\~O() ~f\ nt1v
Address -,c.:(l(A~ \).\1. ..':)~)(\ \(0.
Ci ty (\ . ("l,ry\l(.. ,Ph~ne q4~-~\.o 12.
, Supervisor License Number ,!) '7 n <6.:5
Expiration Date (0 {\ I q I
, I
Constr Contr. Number 3'61(53(0
\
ELECTRICAL PERMIT APPLICATION
, City Job Number , q /0/104-_
3. COHPLETE PEE SCDEDULE BELOV
A. New Residential-Single or
, Hulti-Family per dwelling unit.
Service Included:
Items
Cost
Sum
1500 sq; ft. or less ~ $ 85.00 B '5 ~
Each additional 500
sq. ft or portion
thereof 2 $ 15.00,30.""
Each Manuf'd Home or
Modular Dwelling,
Service or Feeder ,$ 35.00
B. Services or Feeders (10 Branch' Circui ts
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601'amps to 1000 amps
Over 1000 amps/volts
Reconnec t Only .
$ 35.00,
$ 60.00
$ 90.00,
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less '~$ 35.00 ~
201 amps to 400 amps $ 40.00 .
Over 401 to 600 amps' $ 80.00 .
Over 600 amps or 1000 volts see "Bn above
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Sign~f Supervis ng, Electrician
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'Owners Na~e \~A-:h i J\ \)' , '
Addr~ss.t9 qq Q , fi\ 0 tiJ I i ()~
, Q, "\ ' :' ' "A Q.' ' One Circui t '
Ci ty , l.AJQ.eJ\o.. Phone 'T'~ ~ u \ 1 (0 , ,Two .to ten Circui ts "
l\ ' ' " Each Addt'l ten or
,OVNER INs'r'ALLATION', ' portion thereof '
Expiration Date
The 'installation is being, made on
property, I own which is ,not,intended
, for sale, lease or rent.
Owners Signature:
DATE:
, RECEIPT I:
RECEIVED DY:
5. \J.q \
\~ 1).
1-l~n<;:2o,
D. Branch Circuits
New, Alteration or' Extension Per Panel
$35.00
$ 50.00
$15.00
E~ Hiscellaneous (Service/feeder not included)'
-Each 'installation
Pump or irrigation'
Sign/Outline Lighting
, Signal Circuit or
limited,energy, panel'
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
$ 36.00
$ 36.00
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,,>,75'
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