HomeMy WebLinkAboutPermit Electrical 1991-4-5
225 FIFTH STREET
SPRINGFIELD, OREGON 9747'1
"INSPECTION REQUEST: ,726-3769'
OFFICE: ,726-3759
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Permits are ~on-tr~sferable '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
'Cons'tr 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.
Owners Signature:'
, \~~~----------------
p~TE: ~.~--q, \ ,
~CEIPT I: '
RECEIVED BY: ~~
,
, ELECTRICAL PERMIT APPLICAT~~N~
, City Job Number' q ((jJqe:;
3. COMPLETE FEE SCHEDULE DELOV
A. New Residential-Single or
, Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 sq;ft. or less $ 85.00
Each addi tional 500
sq. ft or portion
thereo f $ 15.00, '
Each Manuf'd Home or
Modular Dwelling,
Service or Feeder $ 35.00
D. Services or Feeders (10 8ranch'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 '-L $ 35.00~
201 amps to 400 amps $ 40.00 .
Over 401 to 600 amps' $ 80.00 '
Over 600 amps or 1000 volts see "8" above
D.
8ranch Circuits
Owners N~) Or, \~)~ \0 oJ S
Address' P/6~ 2.f\ F rrYlL ~----'
City~ti ',Ph~~e~23 '
OVNER INSTALLATION
New, Alteration or Extension Per Panel
E: Miscellaneous (Service/feeder
-Each installation
Pump or irrigation'
Sign/Outline Lighting
Signal Circuit or
limited, 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
$ 15.00
not included)'
$ 36.00
$ 36.00
$ 36.00
,-::<;5 ,00
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