HomeMy WebLinkAboutPermit Electrical 1991-11-18
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225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number 9/~;>
OFFICE: 726-3759
3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION
6~/ c..ers:..&.
LEGAL DESCRIPTION
/)~'3'''5'7''-/Y'. ~..,.., ..--
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
,
Items Cost
Sum
JOB DES~ION ,1000 sq.ft. or less
~NVl1!94r ~/.....~ A~wjO~~.ach ,additional 500
r sq. ft or portion
Permits are non-transferable and expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular ,Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B. . Services or Feeders
, 'Installation, Alterations or
Electrical Contractor ~~~....-r2>{~,,;Relocation: ,
Address '-/Z.b? ,-". $"i11. h.-e- . 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
City
e~c-(';:::- Phone :jQt./7 ~g /
Supervisor License Number ~~
Expiration Date
/L.>-J 4 '2- .
, $ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number ~ rYS-
C. Temporary Services or Feeders
Installation, Alteration or'Relocation
Expiration Date
/2.-<~/
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or ,1000 volts
Signature of Supervising Electrician
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D. Branch Circuits
Owners Nallie
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Address
City
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
Phone
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
$ 35.00 '3 'i:'~
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limi ted Energy/Res S 20.00
Limited Energy/Comm $ 36.00
Owners Signature:
---------------------------------------
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
DATE: //./8"~/'
RECEIPT 11: . ~ ~~'2..:
RECEIVED BY: ./' /./'.-.....-'2 ,.
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