HomeMy WebLinkAboutPermit Electrical 1991-4-26
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SPFlINGFIELO
225 una STREET ELECTRICAL PERIIIT APPLICATION
SPRINGFIELD, OREGON, 97477 ./
INSPECTION REQUEST: 726-3769 City Job Number 9/(I? 9-- ~
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION R
:2.7'77 MMI't1"'.4 1>
LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non-transferable and expire
if work is not .s tarted wi thin .180. days.
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
.. Expiration ,Date
- ----Signature-at--Supervising Electrician
,.
Owners Name),A,n J ~II r~J'6V
Address_ '2..777 M~~~;~
Ci ty ~~ Phone '74'7-9/t:l~
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OVNER 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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un. '-RECEIPT k /Q6j.,'Tr.:. ... ,.,...
RECEIVED BY: ' .:::rtY ~
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3.
New Residential-Single or ~
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Service Included:
A.
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
$ 35.00
B. Services or Feeders (10 Branch Circuits
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
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
.__.u . .200..amps. or--less. , .
. 201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$.35.00
$ 40.00
$ 80.00
see "B"
above
D.Branch. Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
u 5 .,___SUBTOTAL.Of.ABOVE _
5% State Surcharge
. TOTAL' .-
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