HomeMy WebLinkAboutPermit Electrical 1990-12-4
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225 FIFTH STREET
SPRINGFIELD, OREGON 9747?
INSPECTION REaUEST:726~3769
OFFICE: 726~3759
1. 'LOCA,TIO~ -A;p:,~IO~
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LEGAL DESCRIPTION .
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"--c- JOB DESCRIrrION "
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Permits are non-trarisferable and expire
"if, work:isnot started within 180 days
of issuance 'or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY B.
. '
Electrical c<?ntra.cto':Pal~ _Phl\~.
Address3nD~--/\ccdC?JvV ~
City 36>':J' Phon0;1S~~I2J
Supervisor Llcens~ Number t:! =--=.,. J1/4-lS
Expiration Date )0\'1 I
Constr Contr. Number dO -1'1t\G
Expiration Da "' I D fJJ .
. Signat e Of~~"' " ,lectrician .
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OVNERjINSTALLATION "
~ame 'ip~iuJ( z:ecP ~L9~fr .
Address I 4 D28 "SW f--c:vru/1A~im ""
Ci ty 'PxM Q;Vfvv:J Phone" (; 4 ~- ~z-
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT'f: j~~~()
RECEIVED BY: ( 1 A/tA. 0
ELECTRICAL PERMIT APPLICATION
City Job Number
QO/-3&7
3. ' COMPLETE FEE SCHEDULE BELOV
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation: .
100 amps or less $ 35.00
101 ,amps to 400 amps $ 60.00
401 amps to 600 amps $ 80.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnec t Only' $ 35.00
C.
Temporary Services or Feeders
, Installation, Alteration ~r Relocation
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps ~r 1000
$ 35.00
$ 40.00
$ 80.00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
r
Two to ten Circuits ..k $ 50.00 qo--
Each Addt'l ten or
portion thereof $ 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 .. Ch, oC1
SUBTO~AL OF ABOVE 'JV
5% State Surcharge d.?U
TOTAL "Q2.0D
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