HomeMy WebLinkAboutPermit Electrical 1991-3-25
225 PIFTH STREET
.SPRINGPIELD, OREGON 97477
iNSPECTION REQUEST: 726-3769
OPPICE: .726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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.' Jon 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
Address
City
. Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature.of Supervising. Electrician
Owners NamePAV/D J7?~~e/LrFY
Address /&:'..-<;'7 OC~~%?c
. .
Ci ty ~D
Phone 72~ "";'390
01lNER INSTALLATION
The installation is being. made on
property I own which is not. intended
for sale, lease or rent.
Owne?\Signature:
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--- " - --- --- ~ ---------------
DATE:_ .?--<~-'7/ . _ .
RECEIPT f: /h"~ 'llS/,.
RECEIVED BY: . :::Y~"'7-~-:;-
ELECTRICAL PERMIT APPLICATION
City Job Number ?A~'~..3 ql())ll
3.
COMPLETE PEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 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 $ 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
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
$ 80.00
volts see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lightin~ $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE .Ita e;s<>>
5% State Surcharge ::;': .:>>e:>
TOTAL .? "':?_ ~