HomeMy WebLinkAboutPermit Electrical 1991-10-10
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225 FIFTD STREET
SPRINGFIELD, OREGON 97477
INSPECfION, 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. CONTRACfOR INSTALLATION ONLY B.
Electrical Contractor~..u~ &4#..(
AddressYI? Ar");<;' ,2.DtJ?7
City~ 77..;it)2..Phone :S~Z-J?6f
,
Supervisor License Number ~ 3'7S1
Expiration Date \ C - \ ,- "I'"
Constr Contr. Number "4(,, \ P,
Expiration Date '~-'1~q'2.'
Sign~e of Supervising Electrician
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~ers Name '
Address
, Ci ty Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not ,intended
for'sale, lease or rent.
Owners Signature:
---------------------------------------
DATE:
RECEIPT II:
RECEIVED 8Y:
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ELECTRICAL PERMIT APPLIC~TION, l4103~1
City Job Number~~~_ I
*
3. COMPLETE FEE SCHEDULE BELOV
A., New Residential-Single or
Multi~Family per dwelling unit.
Service Included:
,Items Cost Sum
1000 sQ. f to or less $ 85.00
Each additional 500
sq. ft or portion
the'reof ' $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or'Feeder $ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00 -
Over 1000 amps/volts $300.00
Reconnect Only $40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation,
200 amps or less $ 40.00
201 ,amps to 400 amps $ 55.00
.. 'Over 401 to 600 amps $ 80.00
, Over, 600 amps or 1000 volts see "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcui t
Each Add it ional
Circuit or with Service
, or Feeder Permi t
$ 35.00
$ 2.00 2,~
E. Miscellaneous (Service/feeder not included)
,-Each installation
'Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergylComm
$ 40~00
$40.00
$ 20.00
$ 36.00
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5. SUBTOTAL OF ABOVE '
5% State Surcharge'
TOTAL
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