HomeMy WebLinkAboutPermit Electrical 1991-4-29
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225 FIFTH STREET
SPRINGFIELD. OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
0/0'd3"d.
City Job Number
3.
COMPLETE FEE SCIIEDULE BELOY
1.
LOCATION OF ~S'fALLATION IfI
2,'X'-J'::l NCUr-P.I/Y1 1 V<'>"V RcQ., A.
LEGAL DESCRIPTION
I 7D?, \'1 -(X)~()
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 sq.ft. or less } $ 85.00 'l?S , (X)
Each additional 500
sq. ft or portion l YS,QO
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 35.00
JOB DESCRIPTION
7hC_ LJ../ ~FQ
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 ~ e 6;l-p
Address S4cf7b D~C-I~~[/v-c:!.
.---...{
City..ii:i/l~J.J~ _ Phone h"K'b-Oqt1~
Supervisor License Number i;5h~-5
Expiration Date /6-/_ q;;c.
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
$ 90.00
$130.00
$300.00
$ 35.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
Constr ContI.'. Number A'lJ- ::z.;:~C
. Expiration Date /O'.-c-/ -,-,: ,c::p Z-.~ ._
.m~200...amps or less...."
201 amps to, 400 amps,
Over 401 to 600 amps
Over 600 amps or 1000
~.." $.35.00-..........
, $, 1,0.00 ".. _ __..."..__
$ 80.00
volts see "B" above
- . . .
Signa~,Supervising Electrician
(/4.P~
:~:::,N~o~~~KL D.
Ci ty ~~ c9--., Phone 14/-SL~ l 0
OVNER INSTALLATION
" Branch" Circui ts~
New, Alteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion theL'eof
$ 35.00
$ 50.00
$ 15.00
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or iL'L'igation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited eneL'gy panel $ 36.00
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RECEln i: " "I '" , 'I'1lS'1l "" ~ um TOTAL'" .., 'mn ..., ...'\~~?O' m.... ._u
RECEIVED BY:' I:J\II_'P.- ' - ,-
OwneL's Signature: