HomeMy WebLinkAboutPermit Electrical 1991-1-2
..........,.
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
. .INSPECTION REQUEST: .726-3769
OFFICE: .726-3759
1. LOCf\TION OF INSTALLATION.
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LEGAL 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 B.
Electrical contractor~ ~.~ f~~ tt
Address Q (J t\'l :?J \fJC\
City ~"n~\'),~ QQphone' <1\-7,2..2lZ
Supervisor License Number \~\.:;
. . .
Expiration Date
Constr Contr. Number \cfl::\~ \
. Expiration Date . ~ y 1 \~ f C1/
Signature.of Supervising. Electrician
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.Owners Nllme.::I.WA;t.W. Xz5v7_T)
Add~~ss ;;eJL 11 l. 377 S to ~. . PI
City~-0ld Phone:2tJ ~-1St;
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\. OIlNER INSTALLATION
. The .installation is being. made on
property. I .own which is not. intended
. for sale; lease or rent.
OWners Signature:.
... DATE:-1>2- -:-'J[ .
. RECEIPT I: l Lf /)/J i./
RECEIVED BY: 7J,(.A.....,.,
,
ELECTRICAL PERHIT APPLICATION
City Job Number . 9 () / 25Z)
3. COMPLETE FEE SCDEDULE BELOll
A. New Residential-Single or 4
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
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less
101 amps to 400 amps I
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00 l.i2Q,
$ 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
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
. . Two. to ten Circui ts
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
$ 36.00
$ 36.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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