HomeMy WebLinkAboutPermit Electrical 1991-12-6
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
l. LOCATION OF INSTALLATION
-3.011. ~'IJ{}i
LEGAL DESCRIPTION .
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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
Electrical Contractor
Addressj,D. 'iurj. 14~-;L
CitY~WnafJd ,Phone
Supervisor License Number
'14/.....1-.13b
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Expiration Date IO-I-Q1...,
Constr Contr. Number 0:1 g4q
Expiration Date q - 1- q 1-..
Signature of Supervising Electrician
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Owners Nanie~,. ItwIYYl L->
Address~~ I ~ \.f}N\ Il'IfYlnl /) JIU t{
City~ri\i~PhOne ']')..10- g11/.
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
OWners Signature:
DATE: /~"'~""7/
.RECEIPT #: .&0 ?~.? 3
RECEIVE[) ~Y: ,.....z~
Y,
City Job Number 9//cfJ37
3. COMPLETE FEE SCHEDULE BELOY
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems 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
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
.$ 40.00
$ 55.00
$ 80,00
volts see "B"
D.
Branch Circuits
above
New, Alteration or Extension Per Panel
One Circui t --L . $ 35,00 55.00
. Each Additional
Circuit or with Service
or Feeder Permit $ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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