HomeMy WebLinkAboutPermit Electrical 1991-1-24
SpnlNGFIELD
225 FIFTH 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 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~ ~~ ~~.~
Address7'i703 \) E'<.t(,~.., VALL",.. ~..... (4,0.0
City 0o-T"1Ac..... G.o..,JG- .Phone 9<./7..-7:6'7'2.
Supervisor LiceDse Number 7...-7 OX'S
Expiration Date ~~~Z-
Constr Contr. Number ~3~g3'c;..
Expiration Date -z-~~
Signature.of Supervising. Electrician
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. Owners Name [)e.!,jt:i.':1:..A-:-C ~ /3, .....-11,,_
Address .;l 'if ~ /VIe.:/"!.,,..- D~.
1'1'10.
. City J? <-L<o_ IJ"-JD.J Phone l./.f ~311 0 .
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OVNER 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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DATE:(~I 7-8:il-:'-(I, ~-------
. RECEIPT i: I /'f-.J} I 1"\ ->. Iff!. ~/
RECEIVED BY: ( VII) ~
I'
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number J/ no~ -~_
3.
COMPLETE FEE SCDEDULE 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:
100 amps or less
101 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C.
Temporary Services or Feeders
IDstallation, Alteration or Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or ExtensioD Per Panel
One Circuit $ 35.00
.Two .to ten Circuits $ 50.00
Each Addt'l ten or
portion thereof $ 15.00
E; MiscellaDeous (Service/feeder Dot included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limi ted energy panel $ 36.00 ~
5. SUBTOTAL OF ABOVE /3(;, . ,,()
5% State Surcharge rr..1>0
TOTAL /428&>