HomeMy WebLinkAboutPermit Electrical 1990-9-25
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225 FIFTH STREET
SFRINGFIELD, OREGON 97477
INSFECTION REOUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF. INSTALLAT~ON
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LEGAL RESCRIPTION, .
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JOB DESCRIPTIOpl,. ~ . (\. \ .r,
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Per~its are~on-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
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Electrical Contracto~\r(\ t'\tUJ..J
Address 'Q tJ ~)"'l c9 a \ ~ ~
Ci ty f 1 'DQJ1 (U Phone
Supervisor 2icense Number ~()~~
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Expiration Date
Constr C~ntr. Number ln4a~::\
Expiration Date
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Signature of Supervising Electrician
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01lNER ]:
Name ~ t J ~ lJ~ fitS
Address <9 q \.0 ~ & \\(\ f\ X f\...)
City_~ rl._ Phone 34;Q.-\ o~l
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
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, ELECTRICAL PERMIT APPLICATION
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3. ,COMPLETE FEE SCHEDULE BELOV ~
A. Nev Residential-Single or
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Service Included:
Items
Cost
Sum
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof.
Each Manufid Home or
Modular Dvelling
Service or Feeder
$ 85.00
$ 15.00
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps ~ $ 60.00 1.!Jn. CO
401 amps to 600 amps I $ ",0.00 QO.CV
601 amps to 1000 amps $130.00
Over 1000 amps/volts. $300.00
Reconnect Only $ 35,00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
?OO amps or less $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps $ 80.00
Over 600, amps or 1000 volts see "Bft above
D. Branch Circuits
N'ev, Alteration or Extension Per Panel
One Circuit $ 35.00
Tvo to ten Circuits $ 50.00 ~
,'Each Add t' 1 ten or
portion thereof A $ 15.00 2,().CO
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation'
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)
$ 36.00
$ 36.00
5.
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL