HomeMy WebLinkAboutPermit Electrical 1991-5-28
225 FIFTH STREET ',"
. SPRINGFIELD, OREGON 97477
. .INSPECrION REQUEST: .726-3769'
OFFICE: 726-3759
1.
LOCAT}:ON OF INSTALLATION.
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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. CONTRAClOR INSTALLATION ONLY
Electrical Contractor
. Address
City
. Phone
Supervisor License Number
'.. Expiration Date
. Constr Contr. Number
.Expiration Date
Signature'of Supervising. Electrician
The'installation is being. made on
property I .own.which is not. intended
. for sale, lease or rent.
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'. RECEIPT I: - ~_ A ( JI t\.d-.
. RECEIVED BY: \. '/IU, [~
I
ELECTRICAL PERMIT APPLICATION
City Job Number 'Cj'/04 ~<:
3.
COMPLETE FEE SCUBDULB BELOV
A.
~
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 35.00
B. 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
D.
Branch Circuits
'. owner~ Name~ 0 ..
Addressr9\4~ . . .
Citymi({ · . Phone J4h{jo_~O
. . o~ ~STALLATION
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
E~ Miscellaneous (Service/feeder
-Each installation
Pump or irrigation.
Sign/Outline Lighting
. Signal Circui t or
Umi ted energy panel
One Circuit
.Two .to ten Circuits
Each Addt'l ten or
portion thereof
5. SUBTOTAL OF ABOVE .
5% State Surcharge
TOTAL
$ 35.00
...---- $ 50.00 ~"rO
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
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