HomeMy WebLinkAboutPermit Electrical 1991-10-16
225 FIFTH STREET
. SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
/2/7 )( .sf:
LEGAL DESCRIPTION
'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
Electrical' ContractorGevo..~ €.(eC{
. Address ?- -, 87 01'1'"' t:'tC .~. %
Ci ty_Sp.p }dPhone7L./I-JS1~
Supervisor License Number .36~"S .
Expiration Date j(j -1-92
Constr Co~tr. Number. 5"4 6CfD
Expiration Date
/1-/'1';''11
Signature of Supervising Electrician
The installation is being made on
property I own which is not intended
for sale, lease or reht.
Owners Signature:
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RECEIPT #: ~, /\?1CV i(p/)-<..
RECEIVED BY:( '-r:;:;1'V ~jL--\... .' .~
. --J
City Job Number
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Mul ti-Family per dwelling uni t.
Service Included:
.1000 sq.ft. or less
Each additional 500
Sq.ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B. . 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 amps/volts.
Reconnect Only
Items
Cost
Sum
. $ 85.00
$ 15.00
$ 40.00
l
w
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Miscellaneous (Servicelfeeder
-Each installation
Pump or irrigatjon
Sign/Outline Lighting
Limited Eriergy/Res
LimftedEnergyjComm
. .
200 amps or les~
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps. or '1000
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
/-i OAM. ~ I
Owners Na~/t. tLt ()) 'fNJL.Q)' Branc~ Circuits
- I f\- (}J I~~ ~. New, Alteration or Extension Per Panel
Ad d r es s L ( 1 R -U.....J.-t.- 10).,,1
- '7:)"11 (; ne Circuit . $ 35.00
City _ Ppone~oZvr Each Additional
- Circuit or with Service
LATION or Feeder Permit
$ 40.00
$ 55.00
$ 80.00
volts see "B" above .
$
2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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