HomeMy WebLinkAboutPermit Electrical 1990-10-1
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S~R.FIELD .
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225 FIFTD 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, suspenped'for
180 days.
ELECTRICAL PEiu!rr APPLICATION
3.
1500 sq. f to or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service 'or Feeder
$ 85.00
$ 15.00
$ 35.00
2. "u...dCTOR INSTALLATION ONLY B. Services or Feeders (10 Branch Circui ts
' included). Installation, Alterations
Electrical Contractor O;.e"'I?H 17a:.h.'; .s./Vd.- or .Relocation:
City Job Number' 9~//9'9
COHPLETE FEE SCHEDULE BELOV *
A. New Residential-Single or
Hulti-Family per dwelling unit. '
Service Included:
Items Cost Sum
Address /) B 70 w 7~.it,{J1.
City t;:v < ---. "'--
.
Phone 34,'-; - 16Y/
Supervisor License Number'~~ q 7 ~
Expiration Date
/0 --tl 1 -'7.
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. 00.6t2..:. ,,;s 0
$ 90.00 ,
$130.00
$300.00
$ 35.00
Constr Contr. Number :;J.O-"fG C
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
{, - 3. - "j'2
Signature of Supervising Electrician
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Owners Name ,':'A ~ (10 /fo-.-vd"
Address " 1.5 I VY\.....:",
City ~;..~~:",(~ Phone 7,)(,- 07<.fO
OVNER INSTALLATION'
The installation is being made on
property ,I own which is not intended
for sale, lease or rent.
200 amps or less
201 amps to 400 amps
Over 401 to'600 amps
Over 600 amps or:l000 volts
D.
Branch Ci rcuits
$ 35.00 '
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
5.
SUBTOTAL OF ABOVE
, 5% State Surcharge
TOTAL
One Circui t
Two tOI 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 Lightin" $ 36.00 '
Signal Circuit or
limited 'energy panel $ 36.00
Owners Signature:
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DATE: __ _ /0"/7.5-
RECE1t'l,: /~?..!ir5
RECEIVED ,BY:~
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