HomeMy WebLinkAboutPermit Electrical 1991-10-22
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225 FIFTII S."",,,,.
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OPFICE: 726-3759
1. LpCATION OF INS'tALLATION/G'~",.;.:;\
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LEGAL DESCRIPTION
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JOB PESCRIPTION \
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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 (T,c (?\.J <::::16v\:J
Address 0'9C61{) C._P/+
,
City ('f'Je.O&<'T Phone ~"i5 322.0
Supervisor License Number 359 5 I
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Constr Contr. Number 6'4''5/-L(
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Signature of Supervising Electrician
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Expiration Date
Expiration Date
Owners Name
Address
City Phone
OIINER INSTALLATION
The installation is being made on
-property I own which is not intended
for sale, lease or rent.
.
Owners Signature:
.DA~E~--7~-:~~~~1I---------------
RECEIPT I: 7..lLP(p &
RECEIVED BY: c)..,~
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ELECTRICAL.PERHIT APPLICATION
City Job Number q II I q z-
*
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
.1000 sq.ft. or less $ 85.00
.Each additional 500
Sq. .ft or .portion
thereof $ 15.00
Each Manuf'd Home or
Modular.Dwelling
. Service or Feeder $ 40.00
B. . 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
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 volts
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Ci.rcui t . $ 35.00
.Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
MisceU.aneous (Service/feeder
-Each installation I
Pump or irrigation _
Sign/Outline Lighting sai
Limited Energy/Res ~
LiinitedEnergy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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