HomeMy WebLinkAboutPermit Electrical 1991-4-8
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225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
,.INSPECTION REQUEST: 726-3769
OFFICE: .726-3759
1.
LOCA~ION OF INS'ljALLA!ION t7
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LEGAL DESCRIPTION
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JOD DESCRIPTION . ,\
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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. CONTRAc:rOR INSTALLATION ONLY
Electrical Contractor '.A 36 a'e..-I?
.,
ELECTRICAL PERMIT APPLICATION
City Job Number .q I 03~ }
3.
COMPLETE PEE SCnEDULE, DELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
100 amps or less
101 amps to 400 amps I
401 amps to 600 amps
601.amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
C.
I terns Cost Sum
1500 sq; ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling.
Service or Feeder $ 35.00
200 amps or.less
201 amps to 400 amps
Over 401 to 600 amps.
Over 600 amps or 1000
D.
Dranch Circuits
A.
D. Services or Feeders (10 Dranch' Circui ts
included). Installation, Alterations
or Relocation:
". Address '-'?";'1'9d (? LUu_~ ~<.J? tI1
.. City &7~L._..PPhOne4/~/-.:l-171
Supervisor License Number 5.S/ ~ S
Expiration Oiae /O~/-9.:L...
Cons tr Con tr. Number ~'.:2 (",;).- c;'
Expiration'Oate 1.:1..- /'1-(7'/
Signature.of Supervising. Electrician
~ ~".
ci.,m N;::~~ '"1
Add,~SS~~() {~r()"~; " j ^
qty ~.. Phone 7~7324~
,O\INRR INSTALLATION'
The'installation is being. made on
property. I own which is not intended
for sale, lease or rent.
Owners Signature:
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$ 35.00.
$ 60.00 (;,0.01)
$ 90.00
$130.00
$300.00
$ 35.00
Temporary Services or Feeders
Installation, Alteration or Relocation
$ 35.00
$ 1,0.00
$ 80.00
volts see "D"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each "installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited. energy panel
One Circuit
. . Two. to ten Ci rcui ts
Each Addt'l ten or
portion thereof
E.
5.
SUDTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included).
$ 36.00
$ 36.00
$ 36.00
!'oo .OV
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