HomeMy WebLinkAboutPermit Electrical 1991-8-5
225 FlITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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 :D"'I..oY\ Sl~Q..
Address 34140
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Supervisor License
'd~y
Phone ~ ,., 44- O~ ICj
Number 3", /4 S
Expiration Date 10 - 1- GI '2-
Constr Contr. Number
(o(/,gC14-
Expiration Date
s - -2- 3,- '1'Z--
Si~fture of superv~sing Electrician
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Owners'"Name ~/75;p / H-'/~E.
Address
City Phone
OlINER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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"2A9"'1;-,,?/
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DATE:
h..."'-'-n i:
RECEIVED BY:
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 $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 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
S-I:'J~
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
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t ___ $ 2.00 2<>-:>
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE <200
5% State Surcharge :z 60
TOTAL <460