HomeMy WebLinkAboutPermit Electrical 1991-2-14
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SpnlNGFIELD
225 FIFTH STREET
. SPRINGFIELD, OREGON 97417
,INSPECTION REQUEST: ,726-3769
OFFICE: ,726-3759
1. 'I,09\T.l.Olf J1F INSTALLATION, . '
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LEGAL DESCRIPTION
17 D 1- 3""3 LI I - 0 \ 9 () 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.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor' h)t/ " 1c1I.ev5
Address 7.....P( ~ IV\. nll1 Vlr<2..-
City r:: lA~Phone Lfx- '5 -D7 zz,
Supervisor License Number 7~C{ 7 [f; ,
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Expiration Date
'Constr Co~tr. Number 64 z.......ctb
Expiration Date /2 - I () - C; /
Signature of Supervising Electrician
"f?Ade ~A ',,"
" owne: Name.1l1 C l) -11/ J ~ ~p :;;(jIJCe.
Address " f) 7 Zj>J '/lA (CL'Vl S-r
City ~()Plol" Phone
OWER INSTALLATION
The installation is being. made on
property I ,own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: Z ' I LJ J1/
, RECEIPT i: f "I;? c::,X'
RECEIVED BY: (1 I-;A/J;
ELECTRICAL PERKIT APPLICATION
City Job Number q I 0/1 C;
3. COMPLETE FEE SCDEDULE BELOV
A. New Residential-Single or ~
Multi-Family per dwelling unit.
Service Included:
, ' Items Cost Sum
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
B. 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
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.<.5
$ 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 $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps' $ 80,00
Over 600 amps or 1000 volts see "B" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two ,to 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
Sign/Outline Lighting
, Signal Circui t or
limited energy panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
$ 36.00
$ 36,00
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