HomeMy WebLinkAboutPermit Electrical 1991-9-19
SP'IINGFIELO .
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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3. COMPLETE FEE SCHEDULE BELO"
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPT]ON
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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 S-Ivd e;6dt/c C...
Address /~'T 10., ~.h~
City $/lIe6.. ;$:...e. Phone q83'"""~!S->"
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Supervisor License Number ~~
Expiration Date
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It ems Cos t
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 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
Constr Contr. Number' ~-fl C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date q-/,,_ ~
Signature of Supervising Electrician
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Owners Name lb.vlol 6i bso/1
Address
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OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT II: . I ,'_ rO l~ r 0-
RECEIVED BY: '9'{~1 };~)
200 amps or less ~
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
Extension Per Panel
$ 35,00 '2J~
$ 2.00 \6
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
New, Alteration or
One Ci.rcui t
Each Additional
Circuit or with Servic~
or Feeder Permi t L.\
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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