HomeMy WebLinkAboutPermit Electrical 1991-10-22
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. .LOCf<T~Ot! OF INJ)TALLATION
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LEGAL DESCRIPTION
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JOB D~SCRIPTION
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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 c.~ S P~~,~.
Address P. O. &d.. IJg~
Cit~~~.LL Phone '14/-1..1..310
super:isor<l~cense N~mber ~~~
Expiration Date If) - 1- qL
Constr Contr. Number 1i:1 $?4-q
Expiration Date q - 1 ~ q:J-.
Signature of Supervising Electrician
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Owners Name ~l J rlU @ W
Address 4-1.4- ~;A~~au J
City~t\J~~/(J~rJ. 1 Phone_'1j..h-/:J.3.i,
OVNER IN ALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:__ ~ /t?-=-<. J_"/
RECEIl'f II: .c./.2t. 0
RECEIVED BY: ./"'/~~ - ~
:;or-
:;....,IN\io.-I~LU
City Job Number 9//2S"~
3. COKPLETE FEE SCHEDULE BELOV
A.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. .ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
. $ 85.00
$ 15.00
$ 40.00
. 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
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
So.oo
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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above .
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Addi tional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
~Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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