HomeMy WebLinkAboutPermit Electrical 1991-6-17
225 ~~t~D ~~~~
'SPRINGFIELD, OREGON 97477
,INSPECTION REQUEST: 726-3769 '
OFFICE6{~75
'1. LOCAT~ON OF INST
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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 Contractor.....c.g.s E: /.."fy\" 'k
Address :;'/'1 J(J~7t; Ifi7lr--
City 5(y iiVj r ~ Ii Phone ?'f /-9 ? j Co
. Supervisor License Number / tit .f
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,'Constr Contr. Number n:gg,/q
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Signature 'of Supervising,Electrician
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, Owners Name' F=.weR '
Expiration Date
;
ELECTRICAL PERHIT APPLICATION
City Job Number ' Gn CY\-~
COMPLETE FEE SCHEDULE BELO\I
New Residential-Single or
, Multi-Family per dwelling unit.
Service Included:
A.
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (10 Branch Circuits
'included). Installation, Alterations
'or Relocation:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps'
Over 600 amps or 1000
D.
Branch Circuits
100 amps or less $ 35.00
101 amps to 400 amps ---L- $ 60.00 I of j
401 amps to 600 amps $ 90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
,Expiration Date
Address' ~ E. 4,/4 Av€: ,
CityF>>.CEiVE.
Phone 4g<1' - WII '
OVNER INSTALLATION
The'installation is being, made on
property, I own which is ,not intended
for sale, lease or rent.
Owners Signature:
'G)~-~
',,', DATE: ~11 CI<l \l.mJ_
, RE".....u f: ;.lJl.i~ I
RECEIVED BY: (..Yea:) - ./'
volts
$ 35.00
$ 40.00
$ 80.00
see "8" above
New, Alteration or Extension Per Panel
One Circuit
, ,Two, to ten Circui ts
Each Addt'l ten or
portion thereof
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
E~ Miscellaneous (Service/feeder
-Each installation
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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