HomeMy WebLinkAboutPermit Electrical 1991-10-22
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1.
LOCATION OIL INSr4LLATIO~ .l
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permi.ts 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 <<:'TEfN <:::;'t/'{Il)
Addr~ss 3")e/o (_ON
,
City 0::>R...(!:'f. r-r Phone ,(90 "122.0
Supervisor License Number 759 SL
/6/c1'3
Constr Contr. Number 6" L/ :5 71
"2./ Cf?
,
Signature o~Electrician
\. Ie '
Expiration Date
Expiration Date
Owners Name
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:
----~-----------T-
DATE: Ifl....U...-q
RECEIPT it: "7.1 (0[0 0
RECEIVED BY:' '-/,{;/,W..J---
3. COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items
1000 sq. ft. or less $ 85.00
,Each additional 500
sq. 'ft or, portion
thereof $ 15.00
Each Hanuf'd Home or
Hodular 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
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
One Circui t
'Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Serviceffeeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting ~ $ 40.00
Limited Energy/Res v' $ 20.00
Liniited Energy/Comm $ 36~00
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