HomeMy WebLinkAboutPermit Electrical 1991-10-16
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION. REQUEST: 726-3769
OFFICE: 726-3759
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1. LOCATION OF INSTALLATION
54/ E" ~I\) <::;r A.,
LEGAL DESCRIPTIO~ 11 CJZ33 42-
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I
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.
3. COMPLETE FEE SCHEDULE BELOII
"""llI
New Residential-Single or
Mul ti-Family per dwelling uni t.
Service Included:
Items Cost
Sum
,1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof. $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or 'Feeder $ 40.00
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps' or less
201 ,amps to 400 amps
. . Over 401 to 600 amps
., Over 600 amps or 1000 vol ts
D. Branch Circuits
2. CONTRACTOR INSTALLATION ONLY B. ,Services or Feeders
, " Installation, Alterations or
Electrical ContractorEL5GnuCAL /\MlZAJSit5J.:>S (Alc.Relocation: ..
Address
, Ci ty Phone
OVNER INSTALLATION
'The installation,is being made on E.
property I own which is not ,intended
for'sale, lease or rent.
Owners Signature:
~~~~~---7(X.7G~9T-'"--~-:~-:------.. 5.
RECEIPT II: ~ II . _ &t~
" RECEIVED BYi..-~
' '.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
,
C. Temporary Services or Feeders
'Installation, Alteration or Relocation
$ 40.00
$ 55.00
$ 80.00
see ItB"
above
Address P.D. Fk- 1'/. /LI '-=
0_' . z-'P-172.1,- _
Ci ty 1llJ2:.i'L./MJI) Phone !03-28z-72S-~
Supervisor License Number 2'1 ",<.j-$
Expiration Date /%l/q'-z......
Constr Contr. Number LlLfoo~
Expiration Date /2/2-7/1 ,
Signa~e of S;p~vising Electrician
~A>:fft"/U'~A _ .,
Owners Name
New, Alteration or Extension Per Panel
. One Ci.rcui,t I $ 35.00 3506
Each.Additional
Circuit or with Service
. or Feeder Permi t ...i!1- $ 2: 00 ~o
not included)
Miscellaneous (Service/feeder
,-Each ins talla t i on
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE .
5% State Surcharge.
TOTAL
$ 40~00
$40.00
$ 20.00
$ 36.00
73ClO~
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