HomeMy WebLinkAboutPermit Signage 1991-8-29
225 FlITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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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 INSTALLAT:J:ON ONLY .,(,' B.
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Electrical Contractor~~.~~ ~~~
Address ~6'~tj -?~, /;;>~~~-
'Ci ty ~Hh?? Phone ;Z -=?:;J'99 7/
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Supervisor License Number t/g:::?.J I
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Expiration Date 11!1~/~"'J'
Constr Contr. Number ~ c.( <6 ~
Expiration Date
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Signature of Supervising Electrician,
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wners ame '
Address
City
Phone
O\INER 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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DATE:
RECEIPT ~:
RECEIVED DY:
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3.
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ELECTRICAL PERMIT APPLICATION ,
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City Job Number ? ": ",/~
COMPLETE FEE SCUEDULE DELOV .(;,'V
New Residential-Single or *
Multi-Family per dwelling uni tc' ost' " "".u',m
Service Included:
Items
\
\
,
A.
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
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
volts See "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
,
One Circuit
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting::2. $ 40,00 Z3C>
Limited Energy/Res $ 20,00
, Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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