HomeMy WebLinkAboutPermit Electrical 1991-11-18
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number q I / ~ 7~
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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3. COMPLETE PEE SCHEDULE BELOV
LEGAL DESCRIPTION
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A. New Residential-Single or
Multi-Family per dwelling unit. ~
Service Included:
JOB DESCRIPTION
'Fc/770 D5L.
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 B.
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Electrical Contractor
Address 79tJ /77ff I4vCNwc.
Ci ty ~~rsll>&: .6t'.. Phone 21- 9 - <:'8-10
Supervisor License Number -32.9.1.5
Expiration Date ./{J -J1 - 92.
1000 sq,ft, or less
Each additional 500
sq, 'ft or portion
thereof
Each Manuf'd Home or
Modular.Dwelling
Service or Feeder
Items Cost
Sum
$ 85,00
$ 15,00
$ 40,00
, Services or Feeders
.Installation, Alterations or
Relocation:
$ 50,00
$ 60.00
$100.00
$130,00
$300,00
$ 40,00
Constr Contr. Number &.3.3 73
C. Temporary Services or Feeders
Installation, Alteration or. Relocation
Ci ty 7-;-~ --zh
Phone
Expiration Date -' - 7 - T'i!:-
Sign~)Fe.of Supervising E~ec~rician
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Owners Name 13. ~ /),;" a .
Address '7.L.ftJ.sw dUN>:)K~,eRo,S;.fI:~?
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
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 volts
Branch Circuits
$ 40.00
$ 55,00
$ 80,00
see "B"
above
New, Alteration or Extension Per Panel
One Ci.rcui t .1 $ 35.00 "y c;-
Each Additional
Circuit or with Service
or Feeder Permi t 2 1.. $ 2,00 V' 2...
E. Miscell'aneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40,00
Sign/Outline Lighting $ 40,00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36~00
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
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5. SUBTOTAL OP ABOVE
5% State Surcharge
TOTAL
77. ..e.
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