HomeMy WebLinkAboutPermit Electrical 1991-9-26
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225 FlITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION ,REQUEST: 726-3769
OFFICE: 726-3759
1. ~C~~F ~~ff () /
. \1~~Jj~~ION (I nSOO
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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 INSTA'ftTION ONLY
Electrica~orlactoA<lM t ~I)
Address ~ ffi 3ptr'-
City ~rt Phone ,4\- '3\~
Supervisor License Number /)( n'J L:::S
/0" l~q;L
Expiration Date
'cons t r Con t r. Number' c!:)()) f) Q
IT), / .qL
Expiration Date
Sig ature of Supervising Electrician
,~ers Name\ n~Of\-m1 ~PO()~~ D.,
Address 4 \\~L\. \'(\(1 ^- i'\ '
,City ~r\L.LPhOne 'l4'lm29
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O\INER iNSTALLATION
The installation is being made on
property I own which is' not intended
for sale, leas~ or rent.
Owners ~
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__-'_ _::2t._
DATE:
RECEIPT II:
RECEIVED BY:
t~/..
-,-Q"{r ,C{1;j-~-:;;;-, 5.
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3. COMPLETE FEE SCHEDULE BELO\l
A., New Residential-Single or ~,., ,
Mul ti~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
\
60
$ 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 $ 40.00
20lamps to 400 amps $ 55.00
'. 'Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Branch Circui Is
New, Alteration or Extension Per Panel
One Circui t
Each Additional
Circuit or with Service
, or Feeder Permi t
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
'Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE '
5% State Surcharge
TOTAL
$ 40.00
$40.00
$ 20.00
$ 36.00
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