HomeMy WebLinkAboutPermit Electrical 1991-11-15
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
110~""2-S4/' DI~O
. JOB DESCRIPTION
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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(lj.,~ ~i1'IO .dJ(\~..
l' I
Address~~
Cit~ Phone '74/-1,1.31:,
Supervisor License Number r /"'!1 h S
Expiration Date
10 -1-q!L
Constr Contr'. Number O,:j~q
Expiration Date Q _I - q I
Signature of Supervising Electrician
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~';;;;"ers Nanie~~1.' ~/~.
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Add res s-Ll!:t..1 llllYl) ~t.
Ci ty ~~ d Phone --2.!:L'7 - Z b q I
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
--------1---------
DATE: _ _ 11llf..jS (
RECEIPl II: ...;:( 11"'1
RECEIVED BY: l'1 A O.l'Jlv<M-
S'-'IINCr-1ELD
3.
,
\
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or \
Multi-Family per dwelling unit.
Service Included: .
Items Cost
Sum
1000 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
$ 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
Reconnect 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 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
J- $ 35.00 35'.00
One Ci.rcuit
Each Additional
Circuit or with Service
or Feeder Permit
$
2.00
E. Miscellaneous (Service/feeder not included)
~Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limi ted Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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