HomeMy WebLinkAboutPermit Electrical 1991-8-7
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225 FIFTD ~'A66'
'SPRINGFIELD, OREGON 97477
. .INSPECrION REQUEST: 726-3769
OFFICE: .726-3759
1. LOCATION OF r::.'t':TI.ONI/ . / .
. 1L.lI/o Lou, II../MII~~
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LEGAL 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~/' 7fA/':t/~
Address Rc' "'i: <) IJ "" A (.;)(/~.
City~O . Phone ,l'dt/-;I.~
Supervisor License Number q 45-- S
Expiration Date jt) /9/
.Constr Contr, Number d() -.:2R'O ~
Expiration Date /I))Q/
Signature'of Supervising. Electrician
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Owners ;QY{Jlh .
. Address~1J J221~
.City .~ho~.ft;~'91Z6
OVNER IGJTALLATION
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: ~
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. RECEIPT I: " . . _ \..V-./'f( , 'f
RECEIVED DY: \... JI J n _ ) K1J
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ELECTRICAL PERHIT APPLICATION
City Job Number'. C{\Dltlp
3. COMPLETE FEE SCUEDULEDELOV . .*.
A. New Residential-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 Manuf'd Home or
Modular Dwelling 10
Service or Feeder -2L $35.00
D. Services or Feeders (10 Branch Circu'its
.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
D. Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see "B" above
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