HomeMy WebLinkAboutPermit Electrical 1991-5-21 (2)
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225 FIFrH STREEt
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
ELECTRICAL PERMIT APPLICATION
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Ci ty Job Number q ( {)3qi
COMPLETE FEE SCHEDULE BELQV
3.
1. -;OQ.~loO~~ION}
LEGALDllSc;JP:~,!ON,.II 0'
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Permits are non-transferable and expire
if loIork is not. started, within 180, days,
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTAL
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1500 sq;ft. or less , I $ 85.00 AfS
Each additional 500
sq. ft 'or portion \ J.s.
thereof $ 15.00
, , Each Manuf' d Home or
Modular Dwelling
Service or Feeder $ 35.00
B.
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
~ f900+
Electrical Contracto
Address \)() ~
City F='~ ~AX.. Phone 12.(o-18Ll5
q4~<J '8'
Supervisor License Number Q 2> S~ '
Expiration Date\O! ( ! q ~
f\ / C. Temporary Services or Feeders
Constr Contr. Number c>.310 Installation, Alteration or Relocation
,. Expiration Date ..., JD~I...._.. ,-,nuu-200.amps or..less ...."../ $.35.00' '@,
. ~, . . "'_~_"___'h__.___..___......____201,.amps to 400 amps $ 40.00
Signature of Supervising Electrician Over 401 to 600 amps $ 80.00
. . O""X~ ~~ ~ i ... . . D. ::::O:~i:::: ,:' 1000 ,,'" '" "B" .b,",
l\ I L1. c...::l \J ~~ New, Alteration or Extension Per Panel
Address'-\D n l X")' ~ ~
City ~..Phone-r2,io-%S
01lNER \ n~TALLATION
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
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
One Circuit
,TloIO to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel $ 36.00
--n----::.7:::-:,::,7==,7,=::.7.7..:-:-T==--:===-':'.=.-==:--=..,--=..,-'''-='0-==..,-_._..5._, SUBTOTAL, .OF, ABOVE_..____._ "_n" .J.~ 5~, _.. _
DATE:_. f;/~i1'11 5% State Surcharge - t.P."'}-S
" . ':g:i~Di~y~- '--:LI'\ItJ~'---"'- . - '-..-u........TOTAL . . ., " 141.'/S""
$ 36.00
$ 36.00
Owners Signature: