HomeMy WebLinkAboutPermit Electrical 1991-12-5
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225 FIITO STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number '7'// /..e 2-
OFFICE: 726-3759
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
i8-cJ~"2 ""P. ~~"2-
1.
3. COHPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included: .
A.
. Items Cost
JOB DESCRIPTION 1000 sq.ft. or less
/n~A.c..L. 7'.c::~~z:;~~ ~$/~,Jr~ach additional 500
sq. 'ft or portion
thereof .
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
l80 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor.:! ~C; El~
.JJ-.
Address ;:; I S7
oim
Phone 7 'f(o ~ L/ &,S b
City t;:;.o~ld
f
Supervisor License Number ~u.~~.~
Expiration Date
/6-1 -q;:)
C. Temporary Services or Feeders
Installation, Alteration or. Relocation
Constr Contr. Number -:In - ;:),/7 G
Expiration Date
J () -'J - q :::2
Signature of Supervising Electrician
~ih ~. .reJ"hO~f)fY""
Owners Name
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
,
Owners Signature:
DATE: ~c. -?: /<7'9/
RECEIPT jj: 'C:::>C:>,?-;:;;:~
RECEIVED BY: ~___~
-"7"
B.
Services' or 'Feeders
Installation, Alterations or
Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps 'to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less
20l amps to 400 amps
Over 40l to 600 amps
Over 600 amps' or.lOOO volts
D.
Branch Circuits
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
""'0_ --
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t q' $ 2.00 ,g. ""-
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
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