HomeMy WebLinkAboutPermit Electrical 1991-10-31
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
City Job Number 9// 2- ~ 9
3. COHPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION
'500.9-, IA.JOUsTJlUA:L AtE. A.
LEGAL DESCRIPTION
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(97 =5D.2-
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
, '
Address
City
Phone
Supervisor License Number
Expiration Date
New Residential-Single or
Hulti-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
Constr Contr, Number
C. Temporary Services or Feeders
Installation, Alteration or'Relocation
Expiration Date
Signature of Supervising Electrician
, D.
Owners Name 'f)(lA7T A-i/L3tJ 6~ikJ
Address J/Sn ~l 37& I
Ci ty 75-<1 pg , Phone......,"7 4- '1- ?,()P., /
, .#f6.1s'ltTic No.
OI/NER 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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2/727
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DATE:
,RECEIPT II:
RECEIVED BY:
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or ' 1000 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscell~neous (S~rvice/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Liniited Energy/Comm
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
4/)00
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