HomeMy WebLinkAboutPermit Electrical 1990-12-21
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
, INSPECTION REOUEST: " 726-3769
, 'OFFICE: 726-3759
1, ,LOCATION OF IN~TALLATION t\ ~ . f)
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LEGAL DESCRIPTION . I ~
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II 0 a '~ O'3COO
JOB D~SCRIPTIO ('/J L.. .
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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 R~S;: W. ...aC/TY
Ci ty E ~ ~ Phone 3 y.'I- -Is:;tri)
L
Supervisor License Number q<f~.s.
Expiration Date 10-9/
Constr Contr. Number ~.J ><0 ~
, Expiration Date L~ 7. (
Signature of Supervising Electrician
-RaM.-~ 9~&::S-
/ I '
, ,"'..._ INSTALLATION
Name
Address
City
phone
The installation is being made on
property I own which is not intended
for sale, lease or rent.
O/7~ur:t&~, ,
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DATE. IN.. bl \ ~-\ rC'
RECEIPT I: "" 4 ( a 1(,.., I
RECEIVED BY: \... A\ FD
ELECTRICAL PERH!T APPLICATION
City Job NUIIlber qD/4Bf
3. . COMPLETE FEE SCHEDULE BELOV ~
. ,
A. New Residential-Single, or
Multi-Family per dwelling unit.
Service Included: " .
, Items Cost
Sum
1500 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
~ '$ 35~OO
7'0
B. Services or Feeders (10 Branch Circuils
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps'
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only'
$ 35.00
$ 60.00
$ 80;00
$130;00
$300.00
$ 35.00
"-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps'or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps $ 80'.00
Over 600 amps or,lOOO volts see,"B" above
D. Branch Circuits
New; Alteration or Extension Per Panel
One Circuit ,
Two to ten Circuits
Each Md t' 1 ten or'
portion thereof
,
$ 35.00 S$'<Jg
$ 50~00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lighting
SignalCircui t or', , , '
limited 'energy panel
$ 36.,00
$ 36.00
, 5;
SUBTOTAL OF ABOVE
5X State Surcharge
TOTAL
$ 36.00 ,
I D..C::S~(-d
, ,0-0.:: ')
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