HomeMy WebLinkAboutPermit Electrical 1991-1-10
SpnlNGFIELD
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225 FIfTH STRKRT
'SPRINGFIBLD, OREGON 97477
,INSPBCTION REQUEST: .726-3769.
OFFICE: .726-3759
'1., I.QCATWN'py IN~~TION. ..
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Permits are ~-transferableand 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
-c:;ity
. Phone
. Supervisor License Number
Expiration Date
. Constr Contr. Number
I
I,
I
,Expiration Date
Signature:of Supervising.Blectrician
x..:'
. Owners Nam~ .tfruf\! . .
... Address cOR["(~~\Q\ I~
..City .'P:JU.U\..L.Phone ~'1?15~.
() . .
. OVNER INSTALLATION
,
BLECTRICAL PERIIIT APPLICATION
City Job. Number . q{)/()~O
3. COMPLETB FBB SCDBDULB BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 sq,ft. or less $~
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:
Temporary Services or Feeders
Installation, Alteration' or Relocation
$ ~~.~ lro~
$ 40.00
$ 80.00
volts see "B" above
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.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps.
amps or 1000
Branch Circuits
The installation ,is being. made on
property. I .ownwhich is not intended
for sale, lease or rent.
Owners Signature:'
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.. DATE: {-/{..rq .
. RECEIPT I: I 9 ~
RECEIVED BY: I D<1\~_
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
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 Ci rcui t or .
limi ted energy panel
no t included)
$ 36.00
$ 36.00
$ 36.00
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5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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