HomeMy WebLinkAboutPermit Electrical 1991-4-23
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SPRI~FIELD
S~r~ ohsupexvising Electrician,'
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(\ ~ ~ D Branch Circuits
Owners Namecrt1~li-,y' C' L on ':, New, nteration ,or Extension Per Panel
Address \ 0 ~-\ ~ 0....::::v\ j '. . .
City 'Shf\lt PhO': l41-xiot
O~~TALLATION
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726~3769
OFFICE:726~759
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LOCAnON OF INST~TION Ii-i..'" _ '1
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JOB DES~IO~,..j
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work J& suspen~ed for
180 days.
2. CONTRACTOR INSTALLATI9N ONLY ,
Electrical contractor~' \ \~---.....
Address ~\C')[) \.0. \ \~.
Cityb 4QJ'\Jl-phone \ Q~f)J \<6S ~
' superviso; Li~nse Number -q ~r:s.
Expiration Da'te \ D. \ ,G\'J-J
Constr Contr. Number Q \3:)\
4!?A!Cf \
Expiration Date
The installation is being made on
property ,I own which is not intended
for sale, lease or rent. .
Owners Signature:
~~~~~----~-~z~-~-r~--------=----
RECEIPT I' ~.\CV-\ li&54c
, RECEIVED .BY: ~) VC~ _',
ELECTRICAL PERMIT APPLICATION
City Job Number' . G\\ f\~\...5
3. ,COMPLETE FEE SCHEDULE BELOV
A.' 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
Service or Feeder
---- $ 85.00 ~#C)
$ 15.00 )~. thJ
$ 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
, Reconnec t Only
$35.00
$ 60.00
$,90.00
$130.00
$300.00
$ 35.00
C.
Temporary Services or Feeders
Install~tion, Alteration or Relocation
200 amps or less ,
201 amps to 400 amps
Over 401 to' 600 amps
Over 600 amps or'1000 volts
$'35.00 !--..
....
$ 40.00
$ 80.00.
see "B" above
One Circuit
Two to ten Circuits
Each Addt'l ten or
. portion thereof
$ 35.00
$,50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation.
Pump or irrigation $ 3~.00
Sign/Outline Lighting $ 36.00,
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE J C(2.9::f'._
5% State. Surcharge ~ -,~:{X.J
TOTAL +p;::>~f;;?(;L