HomeMy WebLinkAboutPermit Electrical 1991-5-21
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225 FIFfH STREET
SPRINGFIELD, OREGON 97477
INSPECfION REQUEST: 726-3769
OFFICE: '726-3759
1.
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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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 da,Ys.
2. CONTRACfOR INSTALLATION ONLY
Electrical contractor~~ ~
Address ~ / 1lJ tU 0 ~ T j / t!-
City~~auPhonejYl liS?
Supervisor License Number tJ t' 0 S
Expiration Date /D -:-r if - 9' r
Constr Contr. Number :;L /5/ "3
______, __Expiration Date ./0--,.(./..,-,9,/-
~ac;J (j S~::ctrician
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Owners Name 'R.J. .:=!.,N&'5
Address (J3 /7.s- f}"ule.ehMe 1&'
Ci ty .&;r- Phone 4%S" ;1./5',;)...
OVNER INSTALLATION
-
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
ELECTRICAL PERMIT APPLICATION o,(JO
-I 573
City Job Number It /(JI";/ q
3.
COMPLETE FEE'SCBEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 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
$ 35.00
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
E r-
100 amps or less $ 35.00 /0':::'
101 amps to 400 amps $ 60.00
401 amps to 600 amps $ 90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 35.00
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
, ,,- , , $ 35.00.
$ 40.00
S 80.00
volts see "B" above
D. " 'Branch Circui ts
New, Alteration or Extension Per Panel
One Circuit
,Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
I ,$ 15.00
-
t-S.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lightin~ S 36.00
Signal Circuit or
limited energy panel S 36.00
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-----..-- DATE:---t:i:.:z{'ztl -.. " ------..----..--. .m_5._.;~~~;~-~~~:~~;------- -/~:t5o..; :!:~-~---.-------
- -, RECEIn i: -/ji,j) (-2J? ' ,',' -, , ,- TOTAL' - - - .., - ~.;:;.;, ----:" " , -
RECEIVED BY: iL~ /2-(P -00