HomeMy WebLinkAboutPermit Electrical 1991-11-23
225 FIFTH STREET
SPRINGFIELD, OREGON 97477 .
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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~JlAL DESCR,IPTION
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JOB DES~PTION
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P~{mits 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
Supervi.s,?r License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Nanie
Address
Ci ty ,
Phone
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
o~wner~ ~:~
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RECEIPT II: ~;$/~--C-
REcEIVEt;iinY:~CA'~/tt!;'-
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SI-'IINGFIELU
Ci ty Job Number '9// 3'g .3
3. COMPLETE FEE SCHEDULE BELOV
~
A. New Residential-Single or
. Multi-Family per dwelling uni t.
Service Included:
Items
Cost
Sum
1000 sq.ft. or less
.Each additional 500
.q. 'ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B. . Services or Feeders
.Installation, Alterations or
Relocation:
'.
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnec t . Only' .
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 ampsor.1000 volts
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D. Branch Circuit~
4o.0()
$ 40.00
$ 55.00
$ 80.00
see "Bit
above .
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New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
,~
E.
Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Lill)ited Energy/Res $ 20.00
Limited .Energy/Comm $.36.00
S'UBTOTAL OF ABOVE ').(:;:~ '--10 .au
5X State Surcharge - )..?S' ':l- .0 ()
. 'L TOTAL. / -S5\.?~ t.-/;;l. 0'"
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