HomeMy WebLinkAboutPermit Electrical 1991-10-15
S...IINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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. A.
LEGAL DESCRIPTION
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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
Address
City
Phone
Supervisor License Number
Expiration Date
City Job Number q///q/
COHPLETE FEE SCHEDULE BELOV ~
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included: .
Items Cost Sum
3.
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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
C. Temporary Services or Feeders
'Installation, Alteration or Relocation
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or .
Modular Dwelling
Service or Feeder ~ $40.00 ~~,
B. Services or Feeders
Installation, Alterations or
Relocation:
Expiration Date
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Signature of Supervising Electrician
Owners Name ~//S /)..",~
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Address ~ ~~yj,~~~,... ~ .
Ci ty. P?;c- LD ~ Phone ?C/ '/ --9::.,.;?!!:'.
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OVNER INSTALLATION
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: /d>'lS-.-:7 ,-
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200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "Bit
above
New, 'Alteration or Extension Per Panel.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
not included)
Miscellaneous' (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limit~d Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
t/o_ &IP
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