HomeMy WebLinkAboutPermit Electrical 1991-9-16
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225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: .726-3769
OFFICE: . '726-3759
1. LOCATION OF IN~ALLATION.
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LEGAL DESCRIPTION
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JOB DBljCRIPTION ,011 ~ .
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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 B.
Elec t~ical Con trac tor~io/it./~
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Address lss- IAJ.///I '6lL/&
, ,City '/f;r/1~PhOneddd-l')7)O
Supervisor License Number C1~~ ,<;
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'Constr Contr. Number d(() -cJgo ~
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Expiration Date
. Expiration Date
Signature.of Supervising,Electrician
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, Owners Name.
Address.
City Phone
OVNER INSTALLATION
The 'installation is being, made on
, property I own which is not. intended
. for' sale; lease or rent.'
Owners Signa ture:'
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DATE: L\, \'&.~, ~ L
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RECEIVED BY: Cl\~~-
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ELECTRICAL PERMIT APPLICATION
City Job Number 'C\ \fJl Cf?)
3. COMPLETE FEE SCDEDULE BELOV '*
A. New ~esidential-Single or ' , . .
Multi-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 Hanuf'd Home or
Modular Dwelling
Service or Feeder :::t $.35.0010
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or,Relocation:
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
201 amps to 400 amps
Over 401 to 600 amps.
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
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 included)
-Each installation
Pump or irrigation.
Sign/Outline Lighting
, Signal Circuit or
limited energy, panel
$ 36.00
$ 36.00 '
5.
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL