HomeMy WebLinkAboutPermit Electrical 1990-11-20
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SPR'.LD .".,., ,..,
225 FIFTD ~.nL~.
,SPRINGFIELD, OREGON 97477
INSPECTION REOUEST: 726-3769
OFFICE: 726-3759
1 ~ LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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.
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2. CONTRACTOR INSTALLATI!>N' ONLY
, Electrical Contractor~t" j- f'Lcrc7;""
t
Address I/;:j- :5~$"- /"7c.KP---?d!- ff~
Ci tyQ?.e/-~~~ Phone R"9" 6-.3'79",;L
Supervisor License Number /07/5"
Expiration Da'te /t9 - 9' ~
Constr Contr. Number ;:;lc>-..?7.?Z
Expiration Date
/0- 7";?-
;x '-' '
rvising Electrician
,6
Owners Name '~~
Address
C~ty Phone
OWER INSTALLATION'
The installation is being made on
property ,I own which is not intended
for, sale, lease or rent. '
ELECTRICAL PEIU!rr APPLICATION
City Job Number' 9c::::::>~<,~
COMPLETE FEE SCHEDULE BELOIl ~
New Residential-Single or
Multi-Family per dwelling unit. "
Service Included: '
Items Cos t :Sum ,
3.
A.
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service 'or Feeder
B.
$ 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
Ower 1000 amps/volts
Reconnect Only
"D. Branch Circuits
$ 35.00
$60.00
$ 90.00
$130.00
$300.00
$ 35.00
New; ~lteration or Extension Per Panel
One Circuit
Two to ten,Circuits
Each Addt'l ten or
portion thereof
I " $ .35.00 -=?s:."..-
$,50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation ,
Pump 'or irrigation $ 36.00
Sign/Outline Lighting~ $,36.00,
',Signal Circuit or
limited energy panel $ 36.00
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
Owners Signature:
DATE: //""2:3 ~ '
nL\.~J.n ,: 18:9860 "'-
RECEIVED BY: /' 1--::-'~~-~<4":~ "'--'"'\
" '"
5.
SUBTOTAL OF ABOVE
5% State Surcharge,
TOTAL
'2-5":-
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