HomeMy WebLinkAboutPermit Electrical 1991-12-31
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTIQN
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JOB DESCRIP'j.'ION
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Permits are non-transferable and expire
if york is not started vithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor (\fMJ uJ~ bLt'U~
Add ress </-10::1 L.) (p T\+-
Ci ty ~?"'it......", Phone b~" -cJ.sfo..S
Supervisor License Number 3.;)..l ().s
Expiration Date /0 -1:2
Constr Contr. Number c:20 ~/'IS-C
Expiration Date ) / -f'd-
Signature of Supervising Electrician
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Ovners Name D~ ?:I".,c,,, ~
,
Address 7(,,1 t...J rtJ.$1
City SrI, Phone "7t..J~~7u.s
OIINER INSTALLATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
DATE: /2/;/ L9/
RECEIPT i: ~4' / '7
RECEIVED DY: ....../R"AI">?'?
-,
City Job Number
-f?/t' ~O
3.
COMPLETE FEE SCHEDULE BELOV
*
Cos t Sum
A.
Nev Residential-Single or
Multi-Family per dvelling
Service Included:
uni to
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less f $ 50.00 ~O,OT'
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or vith Service
or Feeder Permit
S 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or i~rigation $ 40.00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
h"Of''''
2,';-0
.S"/_ ,$"C'