HomeMy WebLinkAboutPermit Electrical 1991-4-10
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
,INSPEClION REQUEST: : 726-3769
, 'OFFICE: 726-3759 , ,
1, LOCATION OF INSTALLATION -:'\ '
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LEGAL DESCRIPTION ,
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not started within IBO days
,of issuance or'if work is suspended for
180 days.
2. CONTRAClOR INSTALLATION ,ONLY
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Electrical Contractor tIe......,\-d,ll..Q. JIuJ-.
Address_ ~S;);:, t,L),::J ll,'\Y
City E4.....0L- Phone 3l(tj- J~ 0
Supervisor License Number 9'v~--S
Expiration Date } 0 - q d-
Constr Contr. Number ~ - ;)-gO -C
, Expiration Date
IO~''7~
ELECTRICAL PERHIT APPLICATION
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Ci ty ,Job NUlllber
3. . COMPLETE fEE SCBED~ BELOV
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A. New Residential-Single. or ,
Multi-Family per dwelling unit.
Service Included: '
, Items Cos t
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1500 sq.ft. or less
Each additional 500
sq. ft or portion,
thereof
Each Manuf'd Home or
Modular Dwelling
Service, or Feeder, ' ,
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Sum "
,$ 85.00
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$ 15.00
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/]... '$ 35.00 1:0 '
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
Reconnect Only' .
$ 35.00
$ 60.00
$ 80;00
$130:00
'$300.00
$ 35.00
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C. Temporary Services, or Feeders "
Installation, ~lteration or R~l~cation
200 amps'or less
201 amps to 400 amps
Over' 401' to 600 amps'
Over 600 amps 'or,1000 volts
$35.00
$ 40.00
S 80.00
see',' "B"'
above
Signature of Supervising Electrician
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,OVNER fNSTALLATIO~ 01\ ~ '
Name E (':(\ \\t\ \ WJ V'
Address \\0-- ~ f\ \-.J}Y\'l1'Y . ,
City '~O J Phone \o~~'~\\63'
o
The installation is being made on
property 1 ovn vhich is not intended
,. for sale I lease or' ren t.
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RECEIPT I: ,,- \'-1, L.J-\
RECEIVED BY: ~ \ 1 I( \ _ ') ,
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D. Branch Circuits
NeW; Alteration or Extension Per Panel
One Circuit " I' $ 35'.00 :;;_~)L
Two to ten Circuits $'50~PP
Each A4dt'l ten or' ' -----
portion thereof " $ 15.00
, .
E. Miscellaneous (Se~vice/feeder not include!
-Each installation ' '
Pump or 'irrigation'S 36.,00
'Sign/Outline Lightin~ $ 36.00
,Signal :Circuit or', ,,'
limited 'energy panel
, 5~
SUBTOTAL OF ABOVE
,5% State Surcharge"
TOTAL '
;
$ 36.00 .~
,'Ji:lMP ';;
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