HomeMy WebLinkAboutPermit Electrical 1992-6-26
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epp.-oval. ELECTRICAL PERMIT APPLICATION
City Job Number f20~3S
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477 Zoning ~Oe...
726-376{!,,1_. 1/',,,
Date~~~
Authc.\rtzed Sigr.at(Jr~ \gf)
1. LOCATION OF INSTALLATION
70-77 /?)Lu~~,
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 ~~ ~~~
Addres~~S- ~,,;;t,;tJd ~t::7
Ci ty .E?ue:; Phone #'f!5S--J~3 7"
Supervisor License Number 2:5~CJ J
Expiration Date /1/~/.9 2-
Constr Contr. Number J2!>~
Ex,iration Date J /.2Jh.:?
~6natu~f ~uP~;stDF/Electrician
X~~ .1/~ ~
l/owners Name-IJpu ~~J
r Address zttO Ue~*!z:.l2R . .
Ci ty $+t) tutf ~hon./~S" J-51!3-?//5
C -'1-. \.:o! ."
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-------~~~~-z;-------------
RECEIPT #: co ~ >C1 7
RECEIVED BY: .~~.
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 1t-5,. uo
-
Each additional 500
sq. ft or portion 3DPo
thereof J- $ 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 $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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 42;. tIO
$ 55.00
$ 80.00
see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
IS 5.01)
7,/5
/tt,2_.75
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL