HomeMy WebLinkAboutPermit Electrical 1991-4-18
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225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
, : INSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
1. ,LOC~IONOF .z~TJiJ.LAT1;ON '
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LEGAL p"E~].'TION '
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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. CONTIlACTOR INSTALLATION ONLY n.
Electrical Contractor', 0 ~ S
Addres~ DC) \?JCJ.L \4~Z-- ,
' Ci ty~\fCQJ'Phone\4 \ -V~
, Supervisor Licens~ Number \ LQ~loS. '
Expiration Date ,\,~
'Cons'tr Contr. Number a~eAq, C.
Expiration Date 0.,'/\ Iq~
aA'rcpZ;'..<<id," . D.
Owners Name ' BZtlh~Pa-Y~!
Address 'P. () _ 87J1} ()
City --rklA.K~ Phone 7t.{fofL/0/
mINER INSTALLATION
The installation is being, made on
property I own which is not intended
for sale, lease or rent:
l.
Ovners Signature:
,~' ,
_L~____________________:____________
DATE: Lf - I r -1/
RECEIn #: J<17CI/
REcr.nnm ny. dfV~
I
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number ,q I 00/-5
3.
COMPLETE FEE SCHEDULE, nELOV
""". '*
I terns Cos t Sum
A.
New Residential-Single or
, Multi-Family per dwelling
Service Included:
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
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
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
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
vol t's see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
, Signal Circui t or
limited,energy panel
One Circuit
, ,Two, to ten Circui ts
Each Addt'l ten or
portion thereof
E.
5.
StmTOTAL OF AnOVE
5% State Surcharge
TOTAL
$ 35.00
-I- $ 50.00
$ 15.00
5{./""'""
not included)'
$ 36.00
$ 36.00
$ 36.00
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50~
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