HomeMy WebLinkAboutPermit Electrical 1990-9-28
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
,SPRINGFIELO, OREGON 97477
INSPECTION REQUEST: 726~3769 City Job Number ~~/~~~
OFFICE: 726-3759
i. ,. LOCATION Q.f INSTALLATIOJ} _ ,
--::< / =< 8 ~~ 7-" 'LJY
LEGAL DESCRIPTION
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential~Single or
Multi....Family per dwelling unit.
Service Included:
',', JOB DESCRI~ION , ' ',1500 sq. ft. or less
Crff'"'hP .//?fcu-Pr-~ ~.1"AYW-~Ch additional 500
- . ~ . , ~ " 'sq. ft or portion
Permits are non-transferable and'expire thereof
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is, suspen~ed for Modular Dwelling
180 da~s. Service or Feeder
2.' CONTRACTOR INSTALLATION ONLY B.
~ .
, Electrical Contractor [~frt::J C;CFi2;7-..
Address B~~..?> /~~-17L/$~,~
Ci ty '~~ki? Phone 7~ _.:::=;?g y?
Supervisor License Number 7:3~'" 5
Expiration Date
It ems
Cost
, Sum
$ 85.00
$ 15.00
$ 35.00
Services or Feeders'(10 Branch Circuits
.included). Installation, Alterations
or. Reloca ti on:
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
, t~nstr Contr. Number ~-5c:?:::;
C.Temporary'Services or Feeders
Installation,' Alter~tion o~ Relocation
Signature of Supervising Electrician
'~' '/~
~~~h'/ ,,~
~ners ~e - /
Address
Ci ty ,
!
Phone
Expiration Date
, ~~-:<~-9~
OWER INSTALLATION'
The installation is being made on
property I own which is nOt intended
for ~ale, lease or rent.
Own~rs Signature:
--------------------------------------~
' ,
DATE: 9~-~c::> '_ '
RECEIPT 4:_/ .~ ',~/ _ ,
, RECEIVED ,BY: ---::r~.~
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
200 amps or less, " $ 35.00
201 amps to ,400 amps $ 40.00
Over 401 to' 600 amps $ 80.00
Ov.r 600 amps or'1000 volts see "B" above
D. Branch Circuits
, ,
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation '
Pump or irrig~tion
Sign/Outline Lighting
Signal Circuit or
,limited energy panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
E.
5. SUBTOTAL OF ABOVE
5% State Su~charge
TOTAL
$ 35.00 -::[5: lot!>
$50.00
$ 15.00'
I
no t included)
$ 36.00
$ 36~00
$ 36.00
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