HomeMy WebLinkAboutPermit Electrical 1991-8-20
SPIIINCt'=II!LO
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. ~Ctt!fOJjO~Tf/~) A.
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Permits are non-tran\ferable and eXPi~e L)
if work is not started within 180 days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor~~~ ~C~\C-
Address\o",'I.0 N... '2.-.B~"
Ci t~R>~-.F\s..>-D Phone \\\;'\-&C)...~
::~w.o\ ~
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Constr Contr. Number ~-~~
Expiration Date \0\\\ <\ \
Supervisor License Number
Expiration Date
3. COMPLETE FEE SCHEDULE BELOV
New Residential-Sin"le or
Multi-Family per dw,elling uni t.
Service Included:
Items Cost
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each Manuf' d Home o.c
Modular Dwelling
Service or Feeder $ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
B.
200 amps or less $ 50.00
201 amps to 400 amp:; $ 60.00
401 amps to 600 amp:l $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/vol t:; $300.00
Reconnect Only $ 40.00
Temporary Services or Feeders
Installation, Alteration ,or :e::~::i04D
$ 55.00
$ 80.00
volts see "B" above
C.
200 amps
201 amps
Over 401
Over 600
or less
to 400 amp~;
to 600 amp~;
amps or 1000
Signature of Superv'sing Electrician
{~J ~l U?, D. .",,, Ci,,"h,
Address \~ '3 \"{\~\f,(~
City,,-SNJ!t Phone=Mh-~ ~~~hC~~~~~~onal -
, \~\' Circuit or wi th Service
OVNER INSTALLATION or Feeder Permit $
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
:::;~ct~~~~
RECEIVED BY: "-t=1:~../
New, Alteration or I:xtension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
$ 35.00
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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