HomeMy WebLinkAboutPermit Electrical 1991-9-4
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225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION. OF INSTALLATION
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LEGAL DESCRIPTION
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JOB DESCRIPV?~.. It. .. I
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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 B.
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Electrical contractor~,<i POJki1tV~.
Address P.O.~. I+g~
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Ci ty_-;- ~''''OirJ.ri ,_ Phone
Supervisor License Number
14/- ;2:;' '3(.,
11o~t,S
Expiration Date In - I - q 1....J
Constr Contr. Number ()9.~4q
Expiration Date q - 1- q 2..,
Signature of Supervising Electrician
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Owners Name 'if 111'1.(10 \ P ~I ~)
Address 144(, ~./JjI~tolA
City~~Y I Phone '1-:Ah-1'J..U_
OIINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: q- 7"-";7 ,,-
RECEIPT #: -:<//""7 ?
RECEIVED BY:.//~~~>-.--"
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City Job Number 9/0 B"5-=t
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or * .
Multi-Family per dwelling unit. .
Service Included:
It ems Cos,t Sum
3.
A.
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 liB"
above
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Addi tional
Circuit or with Service
or Feeder Permit
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 05".00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
S 36.00
.15'.9.0
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