HomeMy WebLinkAboutPermit Electrical 1990-9-25
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1.
LO~,ION~F ~~TALLATt,QN \ Il
D\ ~ 'c' \ \ "i' '('i\ \J_' c;
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_ ~OB qESCRIPTION (\ 11
~r:\ _ _(T)f" H,~.
-Per~i ts are I.).-transferable and expire
if york is n~started 'Jithin 180 days
of issuance or if york is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor 6'Al AJS r:-(-,,:~-171.Lc.-
Address 2.. (D ().J It-c-C I <;
IIAII'1" r_
Ci ty fi:,.//.. ":;..,tfk
~
Phone c; sr7-/~bZ,
Supervisor License Number .}'6 lfj-L
Expiration Date
10 -/ -c-'7 /
Constr C~ntr. Number <-f:J-<fCffj
Expiration Date
c-c. -rl
Signffd/A:ng EleC:cian
OllNER INS'l"\f.~Hl~
Name ~(\\[\ ~'i\0b\(,l\ll")
Address Fa Ij ~ ~ \ \. ~. (v\ ^ \j Q r:::0
City
Phone
The installation is being made on
property I o'Jn 'Jhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~---~-~~. ~~\'3C~fCY-----~
RECEIPT #: d I ~3lnr J
RECEIVED BY: ll.\~)'
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number CJl) } I R Ie;
3. . COMPLETE FEE SCHEDULE BELOII
A.
Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
Items Cost
Sutn
1500 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Hom~ or
Modular Dvelling
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
$ 80.00
$130.00
$300.00
$ 35.00
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
$ 35.00
$ 40.00
$ 80.00
volts see "B" above
D.
Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
T'Jo to ten Circuits / $ 50.00 ~d~
Each Addt'l ten or
portion thereof $ 15.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)
$ 36.00
$ 36.00
5.
$ 36.00
SO.OO
iJ. ~O
[37_:'-"0
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL