HomeMy WebLinkAboutPermit Electrical 1990-10-5
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769.
OFFICE: 726-3759
1.
LOCATION OF INSTAL1fITION. J
C; ( 7. /-?ta#<,' f~_ II ~ce-.
LEGAL DESCRIPTION .
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JOB DESCRIPTION j
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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 fLak 10'1 a<:'C..,
Address 6q0 e::. wI" /!J.ve..
~-I~Z;;S
?o17$
lo-I-CJ I
Ci ty ~1x:z. ae-.. Phone
/ .
Supervisor License Number'
Expiration Date
Constr Contr. Number ""Z::? -'7.0t:. C
Expiration Date
10-/-61/
Signature of Supervising. Electrician
A,.,.. . /)~
/
OVNER INSTALLATION
Name
Address
City
Phone
The installation is being made on
property I own which is no~ intended
for sale, lease or rent.
Owners Signature:
m*;':\~:Fi~9;~~---------
ELECTRICAL PERMIT APPLIC~T~N A
Ci ty Job Number q 0\ \Ytt .
3. . COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included: .
Items Cost _. SUIn
1500 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each H,anuf i d Home or '
Modular Dwelling
Service or. Feeder- $ 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
$ 80 ;.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
$ 35.00
$ 40.00
$ 80.00
volts see "B". 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 not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lightinp $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL