HomeMy WebLinkAboutPermit Electrical 1991-5-8
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION 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. CONTRACTOR INSTALLATION ONLY
Electrical Contractor /
Address
City .Phone
Supervisor License N~
Expiration Date
Constr Contr. N~
Expiration Date
Signature of Supervising Electrician
Owners Name ~Ll.'1 fttArrJ.I-i!'JAJS
Address ..; 3 15 . f!1&fh8.,tfNk..r :llJ,
Ci ty >>,PA' M Phone 717-1/fO
f
OYNER 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: S-cf-2~
RECEIPT i: QCiq 2( / .
RECEIVED DY: ' ~I /JaI )
- ,
ELECTRICAL PERMIT APPLICATION
City Job Number q / rJ 57' /
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3. COMPLETE PEE SCHEDULE DELOY
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items
Cost
Sum
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less '-' $ 35.00 5 s: DO
101 amps to 400 amps $ 60.00
401 amps to 600 amps $ 90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 liB"
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)
$ 36.00
$ 36.00
5.
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL