HomeMy WebLinkAboutPermit Electrical 1991-5-17
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
',INSPEcrION REQUEST: ,726-3769'
OFFICE: ,'726-3759
1, I,O~TION OF ~TION..:.,' _.1l '
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LEGAL DESQUPTION
" '..1.0B DE5,!:IlIPTION ' , ' ,
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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 d,ll)'s. ./'
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2. CONTRACIOR INSTALLATION ONLY, B,
Electrical contractort\.} O('t:tflrl '
",Address \ 0-,03"'\1 S{'\\C'OLR&
Cit~GmU' ~ ,Phone Cf4~.,~lo.12.
, Supervisor License Number d I)[) g ~
16/,1(1/
Constr Contr. Number 0~~c)(D
A(QjgA...
Expiration Date
Expiration Date
Sign~e'of supervi~ing,Electrician
l ..J.... ,. A. ~~ J)
owne~Na:e~}. fi (~~ ~ -
Add~ess Q q C\~ l1\\ q 1-l\ \ \ \J~
City: '~2M-"Pho~e 4~ 5 'o\i to
,OVNER INSTALLATION
The 'installation is being, made on
property I own which is not,intended
, for sale, lease or rent,'
Owners Signature:
DATE: 5'-/7-'5 /
RECEIPT I: '::;;'~:fj/'
RECEIVED BY: / 4'~'" ._,4~~:~/ ~ .
I
ELECTRICAL PERKIT APPLICATION
, City Job Number , C\\r')4() U
3, COHPLETE FEE SCHEDULE BELOV '
A. New Residential-Single or
, Hulti-Family per dwelling unit,
Service Included:
1500 sq;ft. or less
Each additional 500
sq, ft or, portion
thereof
Each Hanuf'd Home or
Modular Dwelling,
Service or Feeder
Items
Cost
Slim'
/' ' 60
,v $ 85.00 J22.' , '
. ~ $ 15,00 ,'.&6
$ 35,00 '
,Services or Feeders (10,Branch'Circuits
included). Installation, Alterations
or Relocation:
$ 35.00,
$ 60.00
$ 90.00
$130.00
$300,00
$ 35.00
C. Temporary Services or Feeders "
Installation, Alteration 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
Reconnect Only .
c
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 liB" above
D. Branch Circuits
New, Alteration or'Extension Per Panel
One Circuit
, ,Two, to ten Circuits ..
Each Addt'l ten or
portion thereof
$ 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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