HomeMy WebLinkAboutPermit Electrical 1991-1-4
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
. .INSPECTION REQUEST: .726-3769
OFFICE: .726-3759
" .
.1. LOCATI~ OF INSTALLAjIONJ-
37?3 J"'-sJo'PV"' /'00. .
LEGAL D~SCRIPTION .
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JOB 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 INSTALLATION ONLY
Electrical Contractor
"Address
City
. Phone
Supervisor License Number
Expiration Date
. Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
. . . . .
. ,",
Owners Name.&r/nt?lj.C ~'e I
Addr~ss.. Jq In / R:c./.. ;;. ... J ..
City . f'lt?hJ . OH Phone "2f'n -/?oCf
"" .
OWNER INSTALLATION
The-installation is being" made on
property I own which is not intended
"for sale, lease or.rent.
.. Own6CZ:.1J 6Z-/
,
" . / "- ---
. DATE: 1- Cf- '91 _
. RECEIPT 1:_ \ Ui(l.~~ .
RECEIVED B1: - -"10('<1
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,
ELECTRICAL PERMIT APPLICATION
City Job Number
3. COMPLETE FEE SCDEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items 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
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps -1-- $ 60.00 ~O
401 amps to 600 amps $ 90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B" above
D.
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
" Signal Circuit or
limited energy panel
not included)
5.
$ 36.00
$ 36.00
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL