HomeMy WebLinkAboutPermit Electrical 1991-12-3
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF J;NSTALLATION
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LEGAL DESCRIPTION
nOd Iq~d-O 0'-100
POf_
JOB DES~PTION
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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
Electrical Contractor Gevtt--d Dec.1
Address ? 7 g7 DI"""!,, C #;2C
City ~~~.cldPhone 74/--2SC;(
Supervisor License Number 3 G <;:;<IS .
Expiration Date /0 -1- '12
Constr Contr. Number~L)" (; 'lD
Expiration Date J/-11~/
Signature of Supervising Electrician
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Owners Nanie
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:
------------------------
DATE:
RECEIPT I:
RECEIVED BY:
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3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items . Cost
Sum
.1000 sq.ft. or less J
Each additional 500
sq. Oft or portion 5
thereof
Each Hanuf'd Home or
Modular Dwelling
. Service or Feeder
$ 85.00 <:;;<:;_00
$ 15.00 7S 00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
206 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps.
Over 1000 amps/volts
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 ampsor.1000
$ 40.00
$ 55.00.
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Liniited Energy/Comm $ 36.00
5.
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL