HomeMy WebLinkAboutPermit Electrical 1991-10-25
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. 4!:tTI:":1' ~~~i{' ,
lif5~~~ION ()A\Tf)
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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 contracto~(j ~
Address '=J 11 0 /..J..)411 / I f;..-
City 9.: L/'}. 1 A Phone =3 'I 3 (3 S J
o/yOJ
Supervisor License Number
Expiration Date / D-/6-'1 1-
Constr Contr. Numbe;)..l?. f'1
Expiration Date c{ - ~ \- - Cf "t.-
q~. ~ g;:," "..'''.'00
Owners Nallie f'fi,9.. ')\0L ~\ ~
Address, 0\\ rAG~ [) -
City ~--' Phone tZh-7tdf
OlINER I~JALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-----------~Zf-r~~~~--------
DATE: . /n'P .' ,_
RECEIPT I: ~~_~ ~ It(n
RECEIVED DY:\r-! r -...,. ~ -
City Job Number
fl
3.
COHPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
Sum
SS
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
. $ 85.00
-11-- $ 15.00 ~)
$ 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
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
$ 40.00
$ 55.00
$ 80.00
see "B"
above
volts
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$
2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Liniited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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~
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL