HomeMy WebLinkAboutPermit Electrical 1991-11-20
SI-ltlNGr-II.:.LD
225 UUQ STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number 9/n-:?/
OFFICE: 726-3759
1.
LOCATION OF INS~LLATION
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LEGAL DESCRIPTION
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JOB DESCRJfTION ~ .
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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 INSTALLATION ONLY
Elect'rical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expira tion Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name .J.~ OpX~~~-r- D.
Address t/~//(~ ~_
Ci ty '5l7'A:Z:>..- - Phone ~-76B'~
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OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Owners Si~ture:
QC-~---~~~ . .
DATE: . I!-- 2?~??
RECEIPT ll: 60"=$ t.. ~
RECEIVED BY: ./7~
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3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
,Sum
1000 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 $ 40.00
B. . Services or Feeders
.Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
~ $ 50.00 L;t'!>--
$ 60.00 -
$100.00
$130.00
$300.00
$ 40.00
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 ampsor.1000 volts
$ 40.00
$ 55.00
$ BO.OO
see "B"
above
Branch Circuits
New, Alteration or Extension Per Panel
One Ci-rcui t
'Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscelr'aneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Liinited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE ~&"r -
5% State Surcharge ::;,>_ ~ .
TOTAL -s".::l-!he>