HomeMy WebLinkAboutPermit Electrical 1991-12-18
St.,tIN(;.t:tELU
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number q/6>~ 9'"3
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 ContractoJ:.--, -"" ~ 'i;::..'-...'\?L' .
Address \0,,""'\..0 ~ ~~
Cityb9",,~ Phone\~,~~'0
Supervisor License Number ~~,,~
Expiration Date ,,(:),,~~~~
Constr Contr. Number ~~~C-
Expiration Date \!:)",,"~~
Si~~~~~~~ctrician
/' 7 0'
Owners Name '
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT 11:
RECEIVED BY:
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3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Mul ti-Family per d~'elling uni t.
Service Included:
Items Cost Sum
1000 sq. ft. or les!: $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeder!,
Installation, Altel:ations or
Relocation:
200 amps or less / $ 50.00 -r;"e>. "...;>
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
C.
Temporary Services or Feeders
Installation, Altel:ation or Relocation
200 amps or less
201 amps to 400 amI's
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Snrvice
or Feeder Permit ~ $ 2.00 ~
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighti.ng $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5.
go.. c:<D
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~ '5". ""'"
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL