HomeMy WebLinkAboutPermit Electrical 1990-10-29
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SPRI.IELC
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225 FIFTD STREET ..;
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:' 126-3769
OFFICE: 126-3159
ELECTRICAL PERHrr APPLICATION
Ci ty Job Number' qD \ 30'
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LQ<;ATI~ OF' .I~ALfI1TION '*.(}:Jd
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3. COMPLETE FEE SCHEDULE' BELOV
A. N~w:Restdential-Single.or '
Mul ti-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 . l ,83
Service 'or Feeder $ 35.00 '
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Permits are non-transferable and expire
if work is not started within 180 days
of fssuance or if work ,is. suspenged for,
180 days.
2. ,CONTRACTOR INSTALLAnON ONLY , B.
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'Electrical contracto~~O~O~.
Addr~ss~'Cot ~ \ \ " , " ,
. - 4' f ~. .
City \())~~~)l\\p Phone ~:--4f)
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Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
, . .'
Expiration Date
/0- f ~'9 '7-
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
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Supervisor License 'Number 537'L. 5
Expiration Date ,/0- I ~'7 I
C. Temporary Services' or Feeders
Installation, Alteration or.Relocation
,200 amps or less $ 35.00
201 amps to 400 amps $40.00,
Over 401 to' 600, amps $ 80.00
Over 600 amps or '1000 vol ts see "B'" above'
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Cons t r Con t r. Number .2'0-::/ -)' C; c.....
City
Signa,ture of SuperviSing Electrician
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Owners Name\J\tX;9J ,(; ~ \r ,D.
Address ~7->?->5 \:X\Lb\1~~
, ., '~ PhoneJ~JB. ~~l5
Branch Circuits
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New; ~lterationor Extension Per Panel
One Circuit '
,Two to ten Circuits
Each Addt'l ten' or
,portion thereof
$35.00
$,,50.00
, OVNER INSTALLATION'
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$ 15.00
The installation is being made on
property ,1 own which is not intended
for, sale, lease or rent. '
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E. Miscellaneous (Service/feeder not in'cluded)
-Each installation. " ,
Pump or irrigation $ 36.00
Sign/Outline Lighting' $ 36.00 '
".. Signal Circui t or . ' ,
limited energy panel $ 36.00
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Owners Signature:
~A'T~~-----'--lTJ~W, --
RECEIPT I: " ..'.. .
RECEIVED BY:
5. SUBTOTAL OF ABOVE
5% State Surcharge ,
TOTAL
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