HomeMy WebLinkAboutPermit Electrical 1991-9-13
S..'IINCt-'IELO
225, FIITB STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST:-., 726",3769
OFFICE:' , 726-3759' , ,~,
1. LOCATION OF INSTALLATION
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JOB DESCRIPTION
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Permits are non-transfera Ie and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days_
2. CONTRACTOR INSTALLATION ONLY B.
Elec trical Contrac toJlREGON ELECTRIC SERVICE
Address Po /3 0)( ';:"~3.J
City (=-:-''''T''~
Supervisor License
PhoneM3 /4:>f?/
Number _'_':J..o.:::'\ S
Expiration Date q _ q~
Constr Contr. Number
"":::'04 L, c.--
Expiration Date
IO-Q;L.
Signature of Supervising Electrician
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ow:e':s Name Em 0 ~(\ ~
Addre~s5.24f) ~~
CitY-4JfI~ -'Ph~~l'
OVNEK INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
-----------~------- '- ------ 5.
DATE: '-1, /3. c...r / ,,- c _
RECEIPT II: r # ex I n/ 1\ :.J..-.-
RECEIVED BY: (~Co ~
3. COMPLETE FEE SCHEDULE BELOI/
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum'
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
'-
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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
S 80.00
volts see "B" above
or Extension Per Panel
One Ci.rcui t $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t -:So $ 2.0040 "-0
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res S 20.00
Limited Energy/Comm $ 36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
/00 0-0
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