HomeMy WebLinkAboutPermit Electrical 1991-5-9
'225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
"INSPECTION REQUEST: ,726-3769 ,,',
OFFICE: , '726-3759
\ ,
ELECTRICAL PERMIT APPLICATION '
City Job Number' "(~\_\M3q
,
, "
3. COMPLETE FEE SCHEDULE BELOV,
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,
" "1. ~TION OF A,STAJ.!.ATIOl(\ n "
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~ DES~F!ION ," '
\ID~?-l~ ,D~\~'
, '. JOB DESCRIPTION,
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A. New Residential-Single or
, Mul ti-Family per dwelling uni t. ,
Service Included :.,
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
Items ' Cost
Sum
1500 sq. ft. or less
Each additional 500
sq. ft or portion, ,
thereof
Each Manuf'd Home or
. Modular Dwelling' " f\
Service or Feeder ~
$ 85.00
'$ 15.00,
$35.0~"'~
"Address
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations'
or Relocation:
,Electrical Contracto~
t!.Jfl~
c2L/ib
?!So- lUJA~
City
,Phone. c3e1 (j-: 0 vn.
qq0-\)
Supervisor License Number
, ' '
, !fJ/y/
, Expiration'Date
'Constr Contr. Number ~O - ;)!(() c..
", l LP5ror7
,Ex'piration Date ,J () /9/ 1 tJ,I6>YJj'1 / '
, ,
.. Signat'1::lperV1si~. ElectriclM,
'"ow~er:,~""LA\, .''OJ), ~~
',Ad~r'~ss\i\\)~ '6l'{\fj,
. . Cl ty .~f \rL Phone lL\ 'l-fs 1 \ \ .
, ,OVNER INSTALLATION
The 'installation is being. made on
property, I ,own which is not intended
,,' 'for' sale, lease or, ren t .
Owners Signature:
.
--
;', . \Qt75{ ( ,
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, t'3( ldJ..... .J
DATE:
, RECEIPT I:
RECEIVED BY:
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
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 volts see "B" above
D. Branch Circuits
".
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 not includ~d)
-Each installation
Pump or irrigation
Sign/Outline Lighting
, Signal Circuit, ~r .
limited energy panel
. $ 36.00
. ,$ 36.00 .
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00 ,.
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