HomeMy WebLinkAboutPermit Electrical 1991-3-18
225 FIITB STREET
SPRINGFIELD, OREGON 97477
,iNSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
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. f'. JOB DE~CRIPTION " '
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Per~s 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
SI-f1INGFIELU
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
ern I j:}4()
COMPLETE FEE SCHEDULE BELOV ~
New Residential-Single or
Multi-Family per dvelling unit.
Service Included:
A.
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 35.00
Electrical Contractor
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or. Relocation:
,Address
:-,
City
,Phone
Supervisor License Number
Expiration Date
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
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature 'of Supervising Electrician
"Ovners Nama!\\l\-TN1nv-0ff D.
Address. CM:4<O~,() \ (I ~~
, City ~J~Pho~e l4(-F1~\
, mINER 'IJJALLATION
The installation is being, made on
property I own which is not intended
. for sale, lease or rent.
~Ow~~~ .
. ~..:- ,- -- --{'"I-' ------------
DATE: 0- \ '6 '~\ . _
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RECEIVED BY: rq.. \ LtJL-.
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or 1000
Branch Circuits
$ 35.00 '
$ 40.00
$ 80.00
volts see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
. Signal Circuit or
limited energy panel
One Circuit
,Tvo to ten Circuits
Each Addt'l ten or
portion thereof
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
\
$ 35.00
$ 50.00 fl..)
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
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