HomeMy WebLinkAboutPermit Electrical 1991-7-2
'gnatur of super~i~ E~ectrician
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Owner5'Na~e.....: Q..jl))/{A____'l . .
Address ~~ S fY1) f){'py(nJ
C/~ '''4' /L'7 ':21 One Circuit
City--O. P one~~t?Each Additional .
Circuit or with Service
OVNER HSTALLATION or Feeder Permi t
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
~CATION OF W'W*ATIOli _ \ ~ ,
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~GAL DESCRIPTION
. 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 \t\AC\D
Address ffiqa") \f'\\\\ \\(\fJ\CU
Ci ty ~)~ \tj 'ph~ne .( Zhq<641
Supervisor License Number "3 '6foS
lCJ. \ ,q'Z--
Expiration Date
'constr Contr. Number ~~
Expiration Date
6'2Co.Qv
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~ATE~~~\G-cr;----:t--t~ S\ ,-. ------ 5.
RECEIPT I: ~!i#iJ rA~
RECEIVED BY: '+. I L I
~ ------------
3. COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
It ems Cos t
Sum
1000 sq. ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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
$ 40.00
$ 55.00
$ 80.00
see "Bn
above
volts
New, Alteration or Extension Per Panel
$ 35.00. .
$
2.00'
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
40~
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