HomeMy WebLinkAboutPermit Electrical 1991-4-23 (2)
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SPRINGFIELD
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is. suspen~ed for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor R~ \\ 'S
Address ~\ Y)O W'\ \ ~ ..
City7-A JQy' . PhoneJ o~f)~\%S\
Supervisor LiWse Number. q X' ns
Expiration Date loll /0-z;..
Constr Contr. Number f:)\~1
~1141ft1
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&1.~f ~iSing Electrician
Owners Name ~ . I ~O f))D.
Address 1 oxG\ ~ "8-. ..
Ci ty S:Ofl~Phone 14l-'DJ0!-
~J.rALLATION . .
ELECTRICAL PERHIT APPLICATION
City Job Number ~3( 7
COHPLETE FEE SCHEDULE BELOV
3.
,
New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
1500.sq.ft. or less
Each additional 500
.sq.. ft or ~ortion
thereof
Each Hanuf'd Home or
Hodular Dwelling
Service.or. Feeder
B.
Items
Cost
Sum
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$ 85.00 ~."~
c--
$ 15.00 I~ ."0
$ 35.00
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or.Relocation:
200 amps or less.
201 amps to 400. amps
Over 401 to. 600 amps
Over 600 amps or:l000
Branch Circuits
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
The installation is being made on
property.l own which.is not intended
for sale, lease or rent.
Owners Signature:
~~~;~--2f~-2:-5. 0 \--- -- I
RECEln.: (_ j. ^~rcr K~,
RECEIVED .BY: ::7) I /. LA... .
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
$ 40.00
$ 80.00
volts see "B"
above
Expiration Date
New, ~lteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
E.. Hiscellaneous (Service/feeder
-Each installation .
. .Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
$ 35.00
$ 50.00
$ 15.00
no t included)
$36.00
$ 36.00 .
$ 36.00
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