HomeMy WebLinkAboutPermit Electrical 1991-5-8
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
, INSPEClION REQUEST: : 726-3769
'OPPICE: 726-3759
1, ,LOCATION OF INSTALLATIOij, I
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LEGAL 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 B.
Electrical Contractor ~uf (~~
Address q~s;- u.J d<Jf?Y
City E:us:.L-.<J Phone:(t.//f- I.5DO
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Supervisor License Number q <f s:-S
Expiration Date
Constr Contr. Number
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, Expiration Date
Signature of Supervising Electrician
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'OVNER INSTALLATION
Name
Address
City
Phone
The installation is being made on
property I own which is not intended
, for sale, lease or ren t.
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'DATE: O.8'".q f '
RECEIPT I: I /'-1t.('-1, t.- '
RECEIVED BY: p1\ ( I I( >-.-..Y
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ELECTRICAL PERKIT APpLICATION
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Ci ty Job NUlllber
, ,
3. ' COMPLETE fEE SCBBDtq.B BBLOV
A. New Residential-Single, or
Multi-Family per dwelling unit.
Service Included:
, Items Cos t
Sum
1500 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion,
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder' nl '$ 35.00
1'0 d!r
'Services or Feeders (10 Branch Circui~s
included). Installation, Alterations
or Relocation:
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
$ 60.00
$ 80;00
$130'-00
$300.00
$ 35.00
....
C. Temporary Services or Feeders
Installation, ~lteration or R~l~cation
200 amps'or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or, 1000 volts
D. Branch Circuits
,
$ 35.00 '
$ 40.00
$ 80.00
see,-B"
above
New; Alteration or Extension Per Panel
One Circuit "
Two to ten Circuits
Each Md t'l ten or'
po~tion thereof '
.
/ $ 35.00 S~
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or 'irrigation
'Sign/Outline Lighting
,Signal Circuit or', , ,
limited 'energy panel
, 5.
SUBTOTAL' OP ABOVE
5% State Surcharge.
TOTAL
$ 36.,00
$ 36.00
$ 36.00
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InspO
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