HomeMy WebLinkAboutPermit Electrical 1991-9-10
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number q // a ,)"7
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
~15o 'jflll1f\ '. ftS-:J-,
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3. COHPLETE FEE SCHEDULE BELOI/
LEGAL DESCRIPTION
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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 (l t.,<;' pr.p(ltU.fI , .J.71J!.,.
I ,
Address P, o. ru-j. 1+ i'J.--,
C~yJ'P'U"i1~'o{irL) Phone 7~/-J.1.3 io
Supervisor License Number II~ 9/, S
Expiration Date, ,.-10 - I ~ q:l..-> _
Cons t r Con t r. Number 0 .1 '2 4q
Expiration Date q -1- '7 'J.--;
Signature of Supervising Electrician
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Owners Name (0 ,t.J~ (:[: r , ..\,.tb.';LJ~ ,
Address ~ I 50 '-i (\ II '\ r, " 1I=:3:J-,
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I Phone 1'J..b - '11 ,") q
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE:
RECEIPT #:
RECEIVED BY:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
C.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
S 40,00
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Per~it
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
S 35.00 35'. co
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
S 3.6.00
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