HomeMy WebLinkAboutPermit Electrical 1991-3-29
,
225 FIFrII STREET
'SPRINGFIELD, OREGON 97477
,iNSPECTION REQUEST: 726-3769
OFFICE: ,726-3759
1.
LOCATION OF INSrALLATION J\ rw.:
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" JqB )>ESCRIFrION ~~ ( ", '
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Permits are non-transrable 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
City
,Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature 'of Supervising,Electrician
" Owners Name\..\ ~~ ~
Address \\~~~'\~A-
City' ~.clri P1.lone t+-1-S~9
OVNER INSTiLLATION'
The installation is being, made on
property I own which is not intended
, for sale, lease or ren t.'
Owners Signature:
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RECEIVED BY: (~.f I'D ) -
ELECTRICAL PERMIT APPLICATION
City Job Number
3.
G\~\4l ofL
COMPLETE PEE SCIIEDULE BELOV
A.
New Residential-Single or I
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
Items Cos t
Sum
$ 85.00
,
$ 15.00
$ 35.00
"
B. 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
$ 35.00,
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
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
D.
Branch Circuits
I
$ 35.00
$ 40.00
$ 80.00
volts see "B" above
New, Alteration or Extension! Per Panel
_ One Ci rcui t $ 35.00
:..: Two, to ten Circuits ......... $ 50.00 ~
Each Addt'l ten or
portion thereof $ 15.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited,energy panel
E.
5.
SUBTOTAL OF ABOVE
.5% State Surcharge
TOTAL
not included)
$ 36.00
$ 36.00
$ 36.00
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