HomeMy WebLinkAboutPermit Electrical 1991-1-18
225 FIFTH ,)~"""'~
. SPRINGFIELD, OREGON 97477
. INSPECrION REQUEST: 726-3769
OFFICE: . 726-3759
1. -,~~TION OF INSrAL4TION
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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. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor 8uI {d.ax;.. sltt.,
Address...z:q ~ Movt-vn e..
. Cityf5u ~d. .Phone LfX' 81722...
. Supervisor License Number 2-110 S
Expiration Date 10.., I -12-
Constr Contr. Number ()Lj z'1l.
Expiration Date /2- -fO -:9 (
S~~tureof ~trician
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. Owners Name .3-1-... ~ r en+ ~ c;,
Address 700 5e IA ~.(' /lL
City lS,J,.(.~N!..,.." Phone1:tJi? -122i5
OVNER INSTALLATION
The'installation is being. made on
property. I own which is .not.intended
. for sale, lease or rent.
Owners Signature:
"
"
DATE: {--}? -.'if _
RECEIPT I: I !.trIlL.--'
RECEIVED BY: '(I IAA/'o.-P
/
I
ELECTRICAL PERMIT APPLICATION
City Job . Number UI nl 013
.
3. COHPLETE FEE SCDEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included: . ..
Items Cost
Sum
1500 sq;ft. or less ~
Each additional 500
sq. ft or portion
thereof
Each.Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00 ~~.
$ 15.00
$ 35.00
Services or Feeders (10 Branch'Circuits
'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
$ 90.00
$130.00
$300.00
$ 35.00
C. Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 35.00
201 amps to 400 amps. $ 40.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see liB" above
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two .to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$15.00
E~ Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
Sign/Outline Lighting
. Signal Circuit or
limited. energy panel
$ 36.00
$ 36.00. .
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
( 70.6D
5?".7J
.L79. ~)