HomeMy WebLinkAboutPermit Electrical 1991-6-7
S'-'IINGFIELU
225 ~~~.n ~.A66.
. SPRINGFIELD, OREGON 97417
,INSPECTION REQUEST: ,726-3769
,OFFICE: ' '726-3759
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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. CONTRACl'OR INSTALLATION ONLY B.
Electrical contractor~A/b1'/ t/~
?s:<<) 0 /.-of;P ~c/Ib,
- -
,Address
'City~ ,Phone 3t/t/-;~'){)O
, supervis?T:::.ense Number (}c./"l- S
Expiration Date' , .If) /q/
'. t1:':D\'3rl
'Constr Contr. Number ,.;(() -'dX'f) [',
/()/qj ,~'2'l~\
,Expi~ation Date
,Signature of Supervising,Electrician
'~"~
owner~: Name~ f\ <\- \< U *' 0flX D.
Addr~ss ,,~~~ \. tn \) f\ i rt >
CityU-. (\'~+l '\ ),Pho~e' ' '
,OVNER\ IWr~ION
The installation is being, made on
property I ,own which is not intended
for'sale; lease or ,rent.
Owners Signature:
DATE:_ r::;- :;:;> --9/" '
......""'~rJ: ,: 2a~' .
RECEIVED BY: /A'~~ ~_ ....,
, v,.
..
ELECTRICAL PERHIT APPLICATION
City Job NUlDberq \ TY61 c() ,
3. CoitPLETE FEE SCUEDULEBELOV., ,'*
A. New Residential-Single or ',,:
. HW.U-Fully p.' dwlli", ..". · .
Service 'Included:
Items
Cost
Sum
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling' [) , n /',
Service or Feeder '~$ 35.00 I L.l
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or 1000 volts
Branch cii:cuits
$ 85.00
'$ 15.00,
, ,
Services or Feeders (10 Branch Circuits
'included). Installation, Alterations
or, Relocation: '
One Circuit
, ,Two, to ten Circui ts
Each Addt'l ten or
portion thereof
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
(
$35.00 ':35'
$ 60.00
$ 90.00 ,
$130.00
$300.00
$ 35.00
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
C. Temporary Services or Feeders
Installation, Alteration or Relocation
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
$ 35.00
$ 50.00
$ 15.00
E~ Miscellaneous (Service/feeder not included)
-Each 'installation
Pump or irrigation
Sign/Outline Lighting
, Signal Circui t or
limited energy panel
$ 36.00
, $ 36.00 .
$ 36.00
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