HomeMy WebLinkAboutPermit Electrical 1991-12-27
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225 FIFTH STREET ,
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1.
LOCAqIOt: .Jt.h.STALLATION
4-3 n/\ If rr1 j
LEGAL DESCRIPTION
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 C'.ts piOE~jJ\ 'I ~,
Address P. (). i1td. l4-g1-..,
, , I
Ci tY~ob J ,Phone..2!1:.l..:..2.1 '310
Supervisor License Number I" ~ /.., S
Expiration Date
/0 - 1- '11....,
Constr Contr. Number 03&1{<t
Expiration Date q -1-q1-
Signature of Supervising Electrician
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Owners Nanie_L\knJ ~I\ rl. J,
Address 4-Sg ~jQh.nl\tfJY\ I
Ci ty ~Phone .!J.!L'1- :) I 'J..D
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: /')--.)-1, &1/
RECEIPT 1I: 2,;;")''I'IS
RECEIVED BY: j'V11lbvVIAl_
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
*
A.
Items Cost
1000 sq. f to 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
, $ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Ci rcuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
above '
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Liniited ,Energy/Comm
One Ci.rcui t I
Each Additional
'Circuit or with Service
or Feeder Permit
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 35. 00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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