HomeMy WebLinkAboutPermit Electrical 1990-11-28
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225 FIFTIl STREET
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759 '
1 ~ LOCATION OF INSTALLATION
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LEGAL 'DESCRIPTION
ELECTRICAL PERHrr APPLICATION
, Cl ty Job Number' 9 ()CJ {;;, 7 ct
3.
COHPLETE FEE SCIlEDULE BELOV'
A., New Residen tial-Single or'
Hulti-Family per'dwelling unit.
Service Included:
JOB DESCRIPTION '
C~#IIla-j S'~o...:fo' '-i}..1.. 11-.,.
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Permits,are non-transferable and expire
if work is not started within 180 days
'of issuance or if work is. suspen!led for
180 days. .
2. CONTRACTOR INSTALLATI!)N ONLY
'Electrical Contractor?J7.trh" iLo<j J?'6
Addr~ss fo, An PltJ6,.
Ci t~&;.P~ R Phone....3 AA /} ~ /
supervts:.r License Number 'Irs $ ~
Expiration Date /tJ~/-B
Co~str Contr. Number "r6/~
Expiration Date 3,.. ~-? /"
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Owners me/5 7') "k,-.;~ g~
Address~ c;' h14 ~
City~,(}~1? Phone2..t/(- 'f;l3/
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OVNER INSTALLATION
Items
1500 sq.ft.'or less
Each additional 500
sq. ,ft or portion
thereof .
Each Hanuf'd Home or
Modular Dwelling
Service 'or Feeder
Cost
, Sum
$ 85.00
$ 15.00
$ 35.00
B. 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
, The installation is being made on
property'l own which is not ,intended
for, sale, lease or ren t.
'200 amps or less
201' amps to 400 amps
Over 401 to' 600 amps'
Over 600 amps or'1000 volts
D. Branch Circuits
$ 35.00
$,40.00
$ 80.00
see "B"
above
Newi Alteration or Extension Per Panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL .
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One Circui t
Two to ten Circuits
Each Addt'l ten or
portion thereof
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$ 35.00
$.50,00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation .
Pump or irrigation $ 36.00
Sign/Outline Lighting L-- $ 36.00 '.3~ ~
Signal Circuit or
limited energy panel $ 36.00
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Owners Signature:
'~ATE:_ _ ;;:-i~~/[o
RECKl.." /4. 4(4-7
'RECEIVED BY:~~_
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