HomeMy WebLinkAboutPermit Electrical 1990-10-12
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~P'FIEL" ""'"
225 FIFTD STREET
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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LEGAL DESCRIPT~O~ 0 n C' ~
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Permits are no~ansferable and expire
if work is not started within 180 days
of fssuance or if work is, suspen!led for
180 days.
2. CONTRACTOR INSTALLATION ONLY D.
Electrical contractorJl\.~~~
Address 4S7o 'uU 11.j.l.,
City....i3Jb~ Phone 3LlL/ -C.~b(;,
Supervisor Lic~nse Number ?D - tiS, CL.S
Expiration Da.te t I, (4 I
ELECTRICAL' PERMIT APPUCATION
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COHPLETE FEE SCHEDULE DEtOIl *'
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
City Job Number
3.
1500 sq. ft. . or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service 'or Feeder
It ems
Cost
Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or.Relocation:
D. Branch,Circuits
$ 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'lOOO volts see "B" above
01lNER INSTALLATION
The installation is being made on
property .1 own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEln.: /',(wt?7"./
RECEIVED BY:' -rl A/t,t- 0
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
New, 4lteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation .
Pump or irrigation
Sign/Outline Lighting' /
Signal Circuit or
limited energy panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
Constr Contr. Number b~oll
Expiration Date . ,I '2-2-14 I
, I
Si~aryre of Supervising Electrician
Nu.e. 6L Cy
Owners Name N E.A-L. J. (Ol'l,vr-<,.
,
Address 4570 W. ()<<,
Ci ty ~,z::,. Phone 31I.r(,~~
$ 35.00
$.50.00
$ 15.00
not included)
$ 36.00
$ 36.00 ~
$ 36.00
(3(0.00
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