HomeMy WebLinkAboutPermit Electrical 1991-4-5
'225 FIITH STREET
; SPRINGFIELD, OREGON 97477
,iNSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
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'1. LOCATION OF INSTALLATION
. .I 2.17 f/Ayl>fi.' ~. ~.
, LEGAL DESCRIPTION
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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.
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2. CONTRACTOR INSTALLATION ONLY
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~lectrical Contractor ~J1Y~( f?~~
Address2Z~2. (/h).~AL
9ity EZ/"-;i=AJEPhone-113 - m.z
Supervisor License Number
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Expiration Date
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'Constr Contr. Number /72-L)'7-
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Expiration Date .s:; - '5" - 9/
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Si ature'of~pervising,Electrician
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N,~ (nO\(\. tit~
Address \~~ fu l ~ Q.JI\ _,',
C'i ty " , , 'Phone
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OVNER INSTALLATION
The installation is being, made on
property I own which is not intended
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, for sale, lease or rent.
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~ners Signature:
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R~CEIVED BY: (':1)..f \(A_I
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ELECTRICAL PERKIT APPLICATION
City Job Number '9//)/25
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
B.
Items Cost Sum
$ 85.00
$ 15.00
$ 35.00
9
Services or Feeders (10 Branch'Circuits
included). Installation, Alterations
or Reloca t ion:
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
C.
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
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
Branch Circuits
volts
$ 35.00
$ 40.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
....- $ 50.00 5i:2P..D
$ 15.00
E: Miscellaneous (Service/feeder not included)'
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
One Circuit
, ,Two, to ten Circui ts
Each' Add t' 1 ten or
portion thereof
506-0
'2..0
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