HomeMy WebLinkAboutPermit Electrical 1991-3-29
SPRINGFIELD
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: '726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATiON
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. LEGAL DE~.In::r;O}l,
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JOB DESCRIPTIOlt . .
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Permits are non-transferable and expir~
if work is not started within 180 days
of issuance or if work is.suspended for
180 days.
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2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor CJQ.E!fhtl-wtIl..70tJ
Address :J3;). W s-:f:b
C i t y 'E=-ue, E.,uE-
4,'?S- ~~s:r
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Phone
Supervisor License Number.
,Expiration Date
f 0 -q OL
Constr Contr. Number /0 <:;:'(7S;-
Expiration Date ;;2- ;;l. '7 - 9;:L
'1{:~~r1~n3ician
'OIINER INSTALLATION
Name l\ ~X Q f\B 0 u lrut-
AddresscQ():J \ ~J...\ \\\1'{\~&
City&f\SD~ Phone ldSt:1 ~O}
The installation is being made on
property lawn which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~------(3-:~=G:f~-C1-r----~--~-----
RECEIPT II: ...-. I "'> l,-,~qA
RECEIVED BY: ~ '-7\ 111}. I ,; ..
- ,
ELECTRICAL PERMIT APPLICATION
City Job Number
Yl(")Y\lo
3.
COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost Suln
1500 sq. ft. or iess $ 85'.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 35.00
B. 'Services or Feeders (10 Branch Circuits
included). Installation, A~terations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps -L $ 60.00 (,(!) ,CoX)
401 amps to 600 amps $ 80.00
601 amps. to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less
,201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps 'or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see ltB" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Two to ten Circui ts r
Each Add t' I ten or'
portion thereof ...3
$ 35.00
$ 50.00 SO .c:ro
$ 15.00 LlS',ou
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
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
/$'~
7.75
I ro 'J.... 7 S-