HomeMy WebLinkAboutPermit Electrical 1991-3-6
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225 FIFTD STREET
. SPRINGFIELD, OREGON 97477
iNSPECTION REQUEST: 726-3769
OFFICE: '726-3759
'1. LOCATION OF INSTALLATION
53~e::> /7?~//Y'~r .
LEGAL DESCRIPTION
1?-4>2-~~-':?r-tP6.~1 ,
JOD DESCRIPTION
'2~ AI ~/rE~ I~/R. ;,,,--
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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 INSTALLATION ONLY
Electrical Contractor
Address
City
,Phone
Supervisor License Number
Expiration Date
'Constr Contr. Number
Expiration Date
Signature of Supervising,Electrician
, . ' , . , D.
. Owner~ Name~c~C;: ~~H~
Address'" ~.
City '~;Z>P?.l:> '
Phone ..2.~?-71< ~
OVNER INSTALLATION'
The installation is being. made on
property, I own which is not intended
for sale, lease or ren to'
Owners Signature:
--y' &~U~ k-~.,
/. /
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RECEIPT i:~, ."tc1'41 { (2
RECEIVED DY. --=-- /) l ~ lA..\... :..
ELECTRICAL PERMIT APPLICATION
City Job Number 9/~gT'
COMPLETE FEE SCDEDULE DELOV ~
A. New Residen tial-Single or ' "
Multi-Family per dwelling uni t. ~ .
Service Included:
3.
Items
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Cost
Sum
$ 85.00
$ 15.00
$ 35.00
D. 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see tlB"
above
New, Alteration or Extension Per Panel
One Circuit
.Two ,to ten Circuits
Each Addt'l ten or
portion thereof
E: Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limi ted energy panel
5. SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
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