HomeMy WebLinkAboutPermit Electrical 1991-11-15
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
1. LOCATION 0,0 INSTALLATION
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LEGAL DESCRIPTION
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City Job Number
3. COHPLETE FEE SCHEDULE BELOV
A. New Residential-Single or
Hulti-Family per dwelling unit.
Service Included:
Items Cost
Sum
. 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~~S POootilo \~.
Address_P. (). g'4---lJllL I
City~,LiI ,_ Phone..Pi:/-1..1.3b
Supervisor License Number II, ~ t;. ,'I
Expiration Date
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Constr Contr. Number 03B4Q
Expiration Date q ~ 1- q I,
Signature of Supervising Electrician
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Owners Nanie~?1 n K\ J ~~ILJ
Address IlloS1 PJjonOfY\,l-;-
Ci t~Phone 7'+b - h;{1'1
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE:I'115/"!1
RECEIPT II: ~ II v
RECEIVED BY: ;: A tMJ..#4.J.-
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1000 sq.ft. or less
Each additional 500
sq. 'ft or portion
thereof
Each Hanuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 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 $ 40.00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 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 35,00
$ 2.00 ~.OO
E. Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited EnergylComm
not included)
$ 40.00
$ 40.00
$ 20.00 .
$ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
31.00
I.&S'
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