HomeMy WebLinkAboutPermit Electrical 1991-4-5
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225 FIFl'U STREET ELECTRICAL PERMIT APPLICATION
. SPRINGFIELD, OREGON 97477
. iNSPECTION REQUEST: 726-3769 City Job Number 9/d:<S/
OFFICE: .726-3759
'1. LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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.' JOB DESquPTION .
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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.dr'fP> ~ ('0 1It1n ~
. . Ci ty b..X))(" . Phone <'2.,4 ~.:Jt17
Supervisor Li~nse Number
Expiration Date
Constr Contr. Number
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Expiration Date
Signature of ~rvising.Electrician
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Name~~~"':Q' ~RfZ).
Address gDO'TOrYnffi..9i:)'(.....
. . . . \ .
Ci ty ~'a.xd Phone
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OWER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
Owners Signature.
-- ~
DATE:
RECEIPT Ii:
RECEIVED BY:
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3. COMPLETE FEE SCUEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Items Cos t
Sum
$ 85.00
$ 15.00
$ 35,00
, I
,.
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
C.
$ 35.00
$ 60.00
$ 90.00
$130.00
$300,00
$ 35.00
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
D.
Branch Circuits
volts
$ 35.00
$ 40.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
One Circuit
.Two .to ten Circuits
Each Addt'l ten or
por tion thereof
E;
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
___ $ 50. 00 ~OtTD
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
50""
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