HomeMy WebLinkAboutPermit Electrical 1990-1-9
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225 FrITH STREET .p'(\""~6"""ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 >~~~~o
INSPECTION REQUEST: 726-3769 "'''''<~-i,\0~ City Job Number 9-:<&>0/7
OFFICE: 726-3759 f)Q''''[(\o\\e ~) /"
, \('~~'~';o ,\?oJ (\ ~ /'COMPLETE FEE's'CHEDULE BELOV
1. LOCATION OF INSTALLAT1!O)\I'~~I>\' ;;.j(!!')
::2.G,.OD /rJ4M/ ,;TR I~~~\ "n~(\\i;\""~'Ii~ esidentia1-Sing1e or
. '-, u1ti-Family per dwelling unit.
LEGAL DESCRIPTION "1 '1Y\Service Included:
6/El~'"~ (!.d.~E egE I (JJ Items Cost Sum
. t -
JOB DESCRIPTION
!.//~E A/Bd hJlJVT BQ1TI!
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 L,/I. /llJU/5 ek~j
Address 411'3 ~/I.€LL. f:.Y SrR.
Ci ty t:;/'rd
Phone 747-0fJll
Supervisor License Number ~ODC:, :5
Expiration Date 10/1 / '1 ?
Constr Contr, Number 01 (I~ f'
Expiration Date
Signature of Supervising Electrician'
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Owners kabe \t\ \ t ! \ {\ t\1.~ Q..,
Address 'A4-~~u ~OQL st
Ci ty -S:))J V.'f----/ Phone
OVNER -IN~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~----/::~:~--------------------
RECEIPT II: ~ e/B:;. -
RECEIVED BY: - /'.......... ~,..
'r,..
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or ,Feeder
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
Reconnect Only
$ 85.00
$ 15.00
$ 40.00
$ 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 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
One Circui t ,----1..- $ 35.00 3, ~~
Each Additional
Circuit 'or with Service
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
35' ~.......
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