HomeMy WebLinkAboutPermit Electrical 1991-2-27 (2)
SI'nINGr-Il~LU
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: ' '726-3759
3.
1. ~~I~AS/ALLATIO~~ A.
LEGAL DBSCRIPTIO~. -::> rv-, . . !
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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 PERKIT APPLICATION
Ci ty Job' Number 'ct '..D / rrr
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1500 sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling '1
Service or Feeder ~
$ 85.00
$ 15.00
$ 35.00
&CS
B. Services or Feeders (10 DranchCircuits
included). Installation, Alterations
or Relocation:
Electrical Contractor '
" Address
City
,Phone
Supervisor License Number
Expiration Date
100 amps or less $ 35.00
101 amps to 400 amps $ 60..00
401 amps to 600 amps $ 90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 35.00
Constr Contr. Nu~ber
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising,Electrician
~ 0 LiliJL D.
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'J.U . hone 12.lo-~
,owEd IJJu.LATION
The installation is being, made on
property I own which is ,not intended
, for sale, lease or rent.
E.
~Owners Signature:
'#.~
DATs~~~-:~~:~-1~---------------
RECEIPT : J:.- .1',
RECEIVED BY: ( '7'J uU ,
-,
5.
200, amps or less .. $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
Dranch Circuits
"
New, Alteration or Extension Per Panel
One Circuit
, ,Two ,to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)'
$ 36.00
$ 36.00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
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