HomeMy WebLinkAboutPermit Electrical 1991-11-15 (2)
225 FIFTH STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL.DESCRIPTION
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JOB DESCRIPTION
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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
I
Elec~ricalContractor
Address
Ci ty :
'Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name ~..<l f..-D J...
,
~.,.J
Address <""')::l II
Lb fI../'Jocv...
Phone?:J (,0'113
Ci ty: ~
01lNER INSTALLATION
,
The installation is being made on .
property I own which is not intended
for sale, lease.or rent.
Owners Signature:
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DATE: 11-10-11
RECEIPT I: f.f/71'--.
RECEIVED nY:.ru~
SPIIINUr-IELU
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City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Mylti-Family per dwelling uni t.
Service Included:
Items Cost .Sum
.1000 sq.ft. or less $ 85.00
.Each additional 500
sq. 'ft or portion
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
. Service or Feeder $ 40.00
B. . Services or Feeders
'Installation, Alterations or
Relocation:
200 amps or less' $ 50.00 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 40.00
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 ampsor.1000
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
D. Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
'Each Additional
Circuit or with Service
or Feeder Permi t 2- $ 2: 00 4. Db
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Liinited EnergylComm $ 36.00
5. SUBTOTAL OF ABOVE 6'-j.6D
5% S ta te Surcharge Z - 70
TOTAL 6~ .70