HomeMy WebLinkAboutPermit Electrical 1991-3-29
,
225 FIFrII STREET
'SPRINGFIELD, OREGON 97477
,iNSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
1.
LOCATION OF INSrALLATION J\ rw.:
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" JqB )>ESCRIFrION ~~ ( ", '
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Permits are non-transrable 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
. Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature 'of Supervising,Electrician
" Owners Name\..\ ~~ ~
Address \\~~~'\~A-
City' ~.clri P1.lone t+-1-S~9
OVNER INSTiLLATION'
The installation is being, made on
property I own which is not intended
. for sale, lease or ren t.'
Owners Signature:
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RECEIVED BY: (~.f I'D ) -
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
G\~\4l of/.....
COMPLETE PEE SCIIEDULE BELOV
A.
New Residential-Single or I
Multi-Family per dwelling unit.
Service Included:
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
Items Cos t
Sum
$ 85.00
,
$ 15.00
$ 35.00
"
B. Services or Feeders (10 Branch'Circuits
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
Reconnect Only
$ 35.00,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
I
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or 1000
D.
Branch Circuits
I
$ 35.00
$ 40.00
$ 80.00
volts see "B" above
New, Alteration or Extension! Per Panel
_ One Ci rClli t $ 35.00
:..: Two, to ten Circuits ......... $ 50.00 ~
Each Addt'l ten or
portion thereof $ 15.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited,energy panel
E.
5.
SUBTOTAL OF ABOVE
.5% State Surcharge
TOTAL
not included)
$ 36.00
$ 36.00
$ 36.00
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