HomeMy WebLinkAboutPermit Electrical 1991-5-9
225 FIITH 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. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor [J},q.,(hJO ftt't'./T
Address Ehc::;-B IA/. 2P~,+,-../l5
City ~& Phone t..Jt;(S'.'J~:Jf
1< Supervisor License Number ~~~~~
(<- Expiration Date /.., 4/' ""2...
, .
Constr Contr. Number 5~6610
Expiration Date ./ /2.~ /'72-
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of S perviltng Electrician
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Owners Name S"{"El;4';, /J~/.(A-&M
Address.22.55 ~t5 &~,ra-n
City t'jJ,R/"~.Pb:J Phone~ -~.2
OVNER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~~--~~C:{-:C1:---------~~---
RECEIPT It:, 1 Jr )( )/ 'f...
RECEIVED BY:...1.J)V ne ~ . --
ELECTRICAL PERMIT APPLICATION
Ci ty Job Number 9'11') :3 ? ?
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cos t
Sum
1500 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
$ 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
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 35.00
$ 40.00
$ 80.00
see liB"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
.Two to ten Circuits
Each Addt'l ten or
portion thereof
L..---- $ 35.00 ~oo
$ 50.00
$ 15.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 36.00
Sign/Outline Lighting $ 36.00
Signal Circuit or
limited energy panel $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
<"5'.8.0
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