HomeMy WebLinkAboutPermit Electrical 1991-1-25
225 r~~.n STREET
'SPRINGFIELD, OREGON 97417
,INSPECTION REQUEST: ,726-3769
OFFICE: ,726-3759
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ELECTRICAL PERMIT APPLICATION
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, City Job:Number
3. COHPLETE PEE SCHEDULE BELOV
A. New Residential-Single or "
, Hulti-Family per dwelling unit.
Service Included:
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch'Circuits
Q, '\ A' 'included). Installation, Alterations
Electrical Contractor1' )\J \V 1 06 or Relocation: ,
Address-1l;]~ N\r)(\eClP.J" , 100 amps or less '
'0, · 4 f"l<:,IY1"l ru 101 amps to 400 amps
City l l}')f f\J} _ ,Phone '7')0 -LJl.,L<7 401 amps to 600 amps
, 'U A(]-,OS 601' amps to 1000 amps
Supervisor License Number ~-I I Over 1000 amps/volts
, ' ' q r"\ Reconnect Only
Expiration Date r n...1 . rl-...
'ConstrContr. Number ()4 2- q Co
Expiration Date \ Q I \(j I q l '
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Sign~l:ure..of supervis~lectrician
.G/1&L~" '
Addrt!ss\~'6.l-\ \)10 C ffi\Xj
City fr\(\ 1'1\ rJtA-Pho~e .
,OVNER INSTALLATION
, LEGAL DESCRIPTION ' ,
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D- !OB ,~~CRImQN, nj , '
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~ermits are non~transfera e 'and expire
if work is oot started withio 180 days
of issuaoce or if work is suspended for
180 days.
1500 sq.ft. or less
Each' additional 500
sq. ft or portion
thereof
Each'Hanuf'd Home or
Modular Dwelling,
Service or Feeder
Items Cost
Sum'
$ 85.00 '
$ 15.00 ' '
$ 35.00
$ 35.00,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
The 'installation is being, made on
property I ,own ,which is ,not,intended
, for sale, lease or rent.
Owners Signature:
DATE:
, RECEln i:
RECEIVED BY:
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200 amps or less $ 35.00
201 amps 'to 400 amps, $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
D. Braoch Circuits
New, Alteration or Extension Per Panel
One Circuit
,Two" to ten Circuits
Each' Addt'l ten or
portion thereof
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
E; Hiscellaneous (Service/feeder not included)'
-Each installation
Pump or irrigation,
Sign/Ou tline Ligh t ing ..4-
, Signal Circuit or
limi ted, energy, panel
$ 35.00
$ 50.00
$15.00
$ 36.00
$ 36.00
$ 36.00 '
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