HomeMy WebLinkAboutPermit Electrical 1991-7-26
225 FIFTII STREET
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
. OFFICE: .726-3759
.1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTIO_I) . .
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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 B.
Electrical Contractor7/Jbt!77JO ~!J,:rt-r:
.Address~9S~ 3crlb
Ci ty Ed,d~AJb Phone 3# -735.1-
X Supervisor License Number ~/7 S
>C Expiration Date IO-I-q/
X.Constr Contr. Number ;;;'O-.:2o~ e
7-ExPiration Date /0- 1-.9/
Signature.of Supervising.Ele
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ELECTRICAL PElUlIT APPLICATION
Ci ty Job Number-#(7? ~()
3. COMPLETE FEE SCIIEDULE. BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
Items Cos t
Sum
1500 sq;ft. or less $ 85.00 ~~
Each additional 500
sq. ft or portion
thereof '2.. $ 15.00 ~ ~
Each Manuf'd Home or
Modular Dwelling
Service or Feeder .$ 35.00
Services or Feeders (10 Branch.Circuits
included). Installation, Alterations
or Relocation: .
D. Branch Circuits
$ 35.00..
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Address
City Phone
OVNER INSTALLATION
The installation is being. made on
property. I own which is not. intended
for sale, lease or rent.
Owners Signature:
C)
)C
.. Owners Name.
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DATE: '1-z,,-q,
RECEIlYl' i :7-1"\ ~ I ~
HECJUVP.J1 nv. . 1v-.1.... ~
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
200 amps or .less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps $ 1l0.00
Over 600 amps or 1000 volts see "B" above
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; Miscellaneous (Service/feeder
-Each jnstallation
Pump or irrigation ,
Sign/Outline Lighting
Signal Circuit or
limited energy panel
$ 35.00
$ 50.00
$ 15.00
not included).
$ 36.00
$ 36.00
$ 36.00
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