HomeMy WebLinkAboutPermit Electrical 1991-8-23
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225 FlITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 City Job Number
OFFICE: 726-3759
1. LOCATION OF INSTALLATION
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LEGAL DESCRIl'.:1'ION
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JOB DESCRIPTION
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_~~1L11.0 t:~
Address,Q70'3 'D~t.(c..lT1 V 04u..G" ~13 ~.
Ci ty C D'T1M.... G(l.c.;€! Phone <91/2.- 3b7L
Supervisor License Number -z..- 7 0 l? S
Expiration Date ~L
Constr Contr. Number "20- / 7 foe.
Expiration Date 5~qL-
Sign:O:=PArviC9i,cian
Owners ~a~e ;::.~ IJ I~
Address J t{t{ d- I1L-/t,/.u'r D-
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Ci ty G I<. (c-./' _' Phone t.i! d - J 17 IV
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01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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DATE: _ to.-~ ')Cl 0 ~ \C{li I _ I
RECEIPT t: \ n 0... \l)VI.
RECEIVED BY: .~.AL)L-L/
3. COMPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items Cost
Sum
1000 sq.ft. or less / $ 85.00 ~<>'2>
Each additional 500
sq. ft or portion 6~.cO
thereof '-/ $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
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
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
$ 40.00
$ 55.00
$ 80.00
see "B"
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above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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