HomeMy WebLinkAboutPermit Electrical 1991-8-21
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225 FIITH STREET . , 'r>:t!i""" "~ ' " ELECTIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477,. W1 ""c-~\li1l~.., Il\rv\ ~--1
INSPECTION REQUEST: ~26-~.clr.. D "'r-lii;'lill8~ty Job Number '-1, I rt-" )_1
OFFICE: 726-3759 t,., . - .p
AUIII"" " I '-'--3.. COMPLETE FEE SCllEDlJLE DELOV
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\ JOB D~SCRIPTIOrt
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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.
New Residential-Single or
lti-Family per dwelling
SerVl e Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
, thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
uni t.
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
2. CONTRACTOR INSTALLATION ONLY D. Services or Feeders
gjr' __~ ~^. ~ Installation, Alterations or
Electrical Contractor~ ~ ~'l )( ~ Relocation:
Addressd150 \. -St-_ 200 amps or less $ 50.00
C I v-:\ ) AOA lZ10 '201 amps to 400 amps $ 60.00
City ( A ~/ Phone~~ ~ l) 401 amps to 600 amps $100.00
t\ /Y1 n r' C' 601 amps to 1000 amps $130.00
superv;sor Lfiense Number ~~ ~ ) Over 1000 amps/volts $300.00
I" . \ . Q0, Reconnect Only $ 40.00
Expiration Date \ ~ ) '\
.A \~ C. Temporary Services or Feeders
Constr Contr. Number '-t' \,)"'1 \ Installation, Alteration or Relocation
(),~.~
Expiration Date
Si ""'" of ~~
Owners Name G-o fYJ . ~()l\ ()\ olfLL
Address \-:sP>~ CDt~ _ 7
City ~()l Phone 141-~
" OVNER IN~ALLATION
The installation is being made on E.
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
DATE: C~----- .:.J I r~q-r------ 5.
RECEIPT~: Cf\ '~}I r.:r/g;//A '
RECEIVED DY: I... ~ ~ -
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200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
,
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
\
$
2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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