HomeMy WebLinkAboutPermit Electrical 1991-12-18
S.-'.INGF.liLU
225 FIITU 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. CONTRAClOR INSTALLATION ONLY
Electrical Contractor~~~ ~, = r
Address \.O;::""\D ~ ~'"
Ci tyS?<;;::<>::::. Phone~'-\.'---c. ~ ,:-,,---
Supervisor License Number ~~<:>,~
Expiration Date \C)~,\~~
Constr Contr. Number ~~~~~
\..0\ '\ ~?I.....
Expiration Date
Signature of Supervising Electrician
df~~A) ~~d "
Owners Name
Address
City Phone
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT I:
RECEIVED BY:
/2 -/ ~ -7 I
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City Job Number q//PA~CJ
3. COMPLETE FEE SCHEDULE BELOV
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 portion
thereof $ lS.OO
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B. Services or Feeders
Installation, Alterations or
Relocation:
200 amps less ---L $ 50.00 ce.
or ~
201 amps to 400 amps $ 60.00
40l 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 amps or 1000 volts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permit ~ $ 2;90 ~
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.
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SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL