HomeMy WebLinkAboutPermit House Move 1991-1-17
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225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
. .INSPECTION REQUEST: .726-3769
OFFICE: . '726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
~\JOB DESCl\IPTION \.- L . .
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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'
Address
City
. Phone
Supervisor License Number
-. Expiration Date
. Constr Contr.' Number
Expiration Date
.Signature'of Supervising. Electrician
':,,",
. Owners Name. :"aA" J!t,.~A f"bh
. Address' . P ';t rtf''" r'/N,j..1.~ A"A
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.' C~ty JiY<. h
. OVNER' INSTALLATION
Phone
The .instal1ation is being. made on
property I .own which is not. intended
. for sale, lease or rent.
Owners Signature:
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'. DATE: V \C{, : \-_ V)-~ \
. RECEIPT I: ,-).r\tJ .('_
RECEIVED BY: B-:- -~ "'-, '> ~
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I
ELECTRICAL PERHIT APPLICATION
city Job Number c\.. \ C'(jL\2)
COMPLETE FEE SCHEDULE BELOV ". *. . .'. .'. ...:."
A. New Residential-Single or .... -
. Multi-Family per dwelling unit. . . .'.
Service Included: '. .'.' ..'
Items Cost Sum'
3.
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
. '. . eX)
~$ 35.000'3: .
$ 60.00
$ 90.00.
$130.00
$300.00
$ 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 "B" above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Ci rcuit
.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 Circuit or
limited. energy. panel'
$ 36.00
$ 36;00 .
5.
$ 36.00 .
0'0 CO.
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL