HomeMy WebLinkAboutPermit Electrical 1991-5-17
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number ~/~/~~~
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 wi thin. 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor ).t}'n"'>IC6., ~T.'
Address )D~.~ /~~~
City S7>'p<7).
Phone 72.tf,-"1==?CJ2;.
Supervisor License Number '2 ~? / ")
Expiration Date
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Constr Contr. Number ;;;?CJ~/72c:.
Expiration Date
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Signatur~~~ing Electrician
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own:r: Name (\ t\f:l.\)Q o.[) t\61m QnD.
Address~~ ,"'f\ ~\ <6t, ,
Cit~~' ~ Pho~e!l4b~4?kfj,
O~ I~T~LATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
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
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see "BIl
above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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