HomeMy WebLinkAboutPermit Electrical 1990-10-18
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SPR_FIELD .
225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECrION REQUEST: 726-3769 City Job Number' '90/ZoG" I
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
L/3 /'E ~~~n7/A
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LEGAL DESCRImON
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J.O B 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. CONTRACTOR INSTALLATI!)N ONLY
Electrical Contractor
Address
City
, Phone
Supervisor License Number
Expiration Da'te
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
q~'Name ,k-55 .b;\"".,:.,_Z-.~
-
Address ? (!?~ l:bx //6:-
Ci ty ~i?:-t.b, Pho~e,-:7'7">-,",,- 7'
01lNER INSTALLATION'
The installation is being made on
property ,I own which is not intended
for sale, lease or rent.
4#f'R. ' ,
-~s Signature:
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DATE: _ llj . \yo) }1U
RECEIPl ,: 1l'S'h <.:'..(
RECEIVED BY: N1 rot\. J
3. COMPLETE PEE SCHEDULE BELOI/'
A.
New Residential-Single or
Multi-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 ~elling
Service or Feeder
Items Cost
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 Relocati,)n
200 amps or less ( $ 35.00 ~ r.-c::ll!:>
201 amps to 400 amps $ 40.00
Over 401 to'600 amps $ 80~00
Over 600 amps or'lOOO volts see "B" above
D. ,Branch Circui ts
New, Alteration or Extension Per Pan.!l,
One Circuit
Two to ten Circuits!
Each Add t' I ten or \:
portion thereof
$ 35.00
$50.00
$ 15.00
E. Miscellaneous (Service/feeder not inc:luded)
-Each installation '
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00 '
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE --:?$ -- .
5% State Surcharge /. /~,
TOTAL "'i'/- _ 7 ,,-
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