HomeMy WebLinkAboutPermit Electrical 1991-4-1
225 FIITH STREET ELECTIUCAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477
iNSPECTION REQUEST: 726-3769 Ci ty Job Number 9/ /?/ ~ 7'
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
Electrical Contractor
Address
City
Supervisor
Expiration
Signature of Supervising Electrician
Owners NameYAtlL f-:AsnN~LLI
Address ~~q A~pJe7V
City ~/A1fr/~Phone-2i7- Z'751
OVNER INSTALLATION
The installation is being. made on
property I own which is not intended
for sale, lease or rent.
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---------------------------------------
DATE: ~/-~/ ,_
RECEIPT t: /'7'c1'6
RECEIVED BY: ~~._
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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
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
100 amps or less $ 35.00
101 amps to 400 amps $ 60.00 (b(!J. ~
401 amps to 600 amps $ 90.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 "B"
above
D.
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
-Each installation
Pump or irrigation
Sign/Outline Lighting
Signal Circuit or
limited energy panel
not included)
$ 36.00
$ 36.00
$ 36.00
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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3 80
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