HomeMy WebLinkAboutPermit Electrical 1991-9-25
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. \ WCAT~ OF INSTAL, LATI~ QO
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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 contractQ,rcAe.~ ! y) 0,C':l\'
AddressR~\~~ '~\1.~\~ C\a..~
Ci ty 7 \ lev r\ IJ , Phone \'\} \-C'f\C\4.
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Supervisor License Number ('AI iaf:) QCf\~
Expiration Date \~.\.C\\\.
Constr Contr. Number Cf'\\.nm
Expiration Date \~. \\(').0.. \
Signature oJ? Suri~~ng Ele~ician
(1 /tbL- \.-//nr~~\
ow:ers Na~e ~C\\)Cl \k-, ~\t'\\
Address \0\0<\ fro ~ \~~)~
City\ Q \ '\C\9JNL Phone \.n<6b-2.~~
OIINER INS~ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
'Owners Signature:
DATE: L{,d~ ~Lf I ---~----------
RECEIPT I: . i CSJ. 1<-fo1'1
RECEIVED BY: ('::A.,' ~
3.
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ELECTRICAL PERMIT APPLICATION
City Job Number ~ \ \ \~()
*'
COMPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
unit.
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling \ 4{)
Service or Feeder $ 40.00
B.
Services or Feeders
Installation,. Alterations or
Relocation:
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 UB"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL