HomeMy WebLinkAboutPermit Electrical 1991-10-21 (2)
225 FIFTH STREET
SPRINGFIEW, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number
OFFICE: 726-3759
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional '500
sq. ft or port~on $ 15.00
thereof ,
Each Manuf'd H6me or
Modular Dwelling
Service or Feeder $ 40.00
1. ~V~~INS~~~Q.- &-
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~B D~SCIQ:PTION . LS
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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 B.
Electrical Contractor D}{..0\'\ Flo 0t
Address 43\4D ~ l ,tf\[) n~ _
Ci ty '[} ')~ xl 0 , Phone ,44-() loler
Supervisor License Number ~l 0 \45
Expiration Date ~(), \ ,q j\
'Constr Contr. Number l 0 \ n Sq'4
5.23,en
Expiration Date
Signature of Supervising Electrician
rx'1:hU _ C0.t~
ownerCNam~Qf)'cX>yt:, , h \ ~ 1,_
Address 6\O~\.Q \)\ l ~~ @D
City ~\~Phone
OIlNER '\ IMTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATi~------rrY~ ,C{ I --~--l-----
RECEIPT I: ~ ~I\ ,C{ -&t"t77+~-.:
RECEIVED BY: l~.A..__/ - _'
3. COMPLETE FEE SCHEDULE BELOV
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
$ 50.00
$ 60.00,
$100.00
$130.00
$300.00
$ 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 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel,
$ 35.00
,~'S
One Ci rcuit
Each Addit ional
Circuit or with Service __~
or Feeder Permit,. -L $ ?;90 ~
Miscellaneous (Se'rvice/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 40.00
$ 20.00
$ 36.00
eJ)pc)
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2., <;1. <;i c:;-