HomeMy WebLinkAboutPermit Electrical 1991-1-25
225 ~~~.n ~.A66.
SPRINGFIELD, OREGON 97477
,INSPECl'ION REQUEST: 726-3769 '
OFFICE: ,726-3759
1. _IPj(ATION-llF .-INSTALLATION J
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Permits are non~tr~~sfe~able arid expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
I
ELECTRICAL PERMIT APPLICATION
City 'JOb.Numberq()!, ~~q"
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3. COMPLETE FEE SCHEDULE 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
2. "u...nACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch' Cir,cui ts
~ n ' ...I. included). Installation, Alterations '
Electrical Contractol.\.:X '1)\ \( I of-5 or Relocation:
'Address jq~ [n.a}f~ . ' . 100 amps or less
, City.D ~~Phone 4f{) -CABa ~g~ ::~: ~~ ~gg ::~:
" " fi\qr;^c:::. 601'ampsto1000amps
,Supervisor C cense Number ~ (1--> ' Over 1000 amps/volts
, ' ' 'I f-... \ q f'\ Reconnec t Only
,:.., Expiration Date t). I d--'
Co~strContr.Number [)L\?---C\( 0
Expiration Date \ 0-- In C\ I
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wners ~me~ \8 ""::J ~ (\ ni
Address' ' ~d-l, ~()T 0 l-l :u Jj
City 9Df\~one '
, " ,OWER \NSTALLATION
The 'installation is being, made on
property I own which is not, intended
, for sale, lease or rent.
Owners Signature:
DATE:
, RECEIPT lJ:
RECEIVED BY:
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$ 35.00,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
Temporary Services or Feeders
'Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps'
amps or 1000
D.
Branch Circuits
volts
$ 35.00
$ 40.00
$ 80.00
see "B" above
'I
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1
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation,'
Sign/Outline Lightin~ ~
Signal Circuit or
limited, energy panel
One Circuit
,Two ,to ten Circuits
Each' Addt'l ten or
portion thereof
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included)'
$ 36.00
$ 36.00, ?,(,.., .'
$ 36.00 '
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