HomeMy WebLinkAboutPermit Electrical 1991-2-14
,
225 ~...~ u. STREET
SPRINGFIELD, OREGON 97477
. INSPECTION REQUEST: 726-3769
OFFICE: .726-3759
1.
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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 da.ys.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
. Address
City
. Phone
Supervisor License Number
Expiration Date
.Constr Contr. Number
.Expiration Date
Signature'of Supervising. Electrician
;.
. Owners Name~ N\t\(\1lDW,) D.
Address !OW!) (0 I j 1fYY"DLl' .1t
CityS<~fU1 Pho~e 0'Jh-wCJO
.OVNER INSTALLATION.
The.installation is being. made on
property. I own which is .not.intended
for sale, lease or rent.
OVneff .Signature:
. . . IlJam1 R. -1l!tl/,,~~...
.' ,
-- ---~
DATE:._ --;2. ~/"t'::.? /
RECEIn ,: ZA?q~ .
RECEIVED BY:. V":i.~X-'<o:~--,
,... '.r
I
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number '9/cP /.0 3
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each.Manuf'd Home or
Modular Dwelling
Service or Feeder
Sum
$ 85.00
$ 15.00 .
$ 35.00
B. Services or Feeders (10 Branch.Circuits
'included). Installation, Alterations
or Relocation:
100 amps or less --L--
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 volts
Branch Circuits
$ 35.00
$ 40.00
$ 80.00
see liB"
above
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
Each Addt'l ten or
portion thereof
E~ Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy. panel
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 50.00
$ 15.00
not included).
$ 36.00
$ 36.00
$
36.00
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