HomeMy WebLinkAboutPermit Electrical 1991-12-5 (2)
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225 FIFl'D STREET
'SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number '7'// /..e 2-
OFFICE: 726-3759
LOCATION OF INSTALLATION
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LEGAL DESCRIPTION
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1.
3, COHPLETE FEE SCUEDULE BELOII
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included: ,
A.
,Items Cost
JOB DESCRIPTION 1000 sq.ft, or less
/n~A.c.L. 7'.c::~~z:;~~ ~$/~Jr~ach additional 500
sq, 'ft or portion
thereof '
Each,Hanuf'd Home or
Modular Dwelling
Service or Feeder
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
Electrical Contractor.:! ~C; El~
.JJ-.
Address ;:; I S7
oim
Phone 7 'f(o ~ L/ &,S b
City t:::;,o~ld
f
Supervisor License Number ~u.~~.~
Expiration Date
/6-1 -q;:)
C. Temporary Services or Feeders
Installation, Alteration or,Relocation
Constr Contr. Number -:In - ;:),/7 G
Expiration Date
J () --I - q :::2
Signature of Supervising Electrician
~ih ~'.re}"hO~f)fY""
Ollners Name
Address
City Phone
01lNER INSTALLATION
The installation is being made on
property I olin which is not intended
for sale, lease or rent.
,
Owners Signature:
DATE: ~c. -?: /<7'9/
RECEIPT jj: 'C:::>C:>,?-;:;;:~
RECEIVED BY: ~___~
-;"'7' .
B.
Services'or 'Feeders
Installation, Alterations or
Relocation:
200 amps or less I
201 amps to 400 amps
401 amps to 600 amps
601 amps 'to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps' or.1000 volts
D.
Branch Circuits
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130,00
$300,00
$ 40.00
""'0_ --
$ 40.00
$ 55,00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t q' $ 2.00 ,g_"'-
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20,00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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