HomeMy WebLinkAboutPermit Electrical 1992-9-14
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225 FIFTH STREET Toelo\10W:;,~",;.~'~~t'Oqu\'eGpeClIIC a ELECTRICAL
SPRINGFIELD, OREGON 974'1511\09, e;'11 '
INSPECTION REQUEST: 72lie.'3rt~ vOR-- Ci ty Job Number 0:1) d S.:)
OFFICE: 726-3759 Zc;l~.u..,-, '-It'?? 3
-, ~ COMPLETE FEE SCHEDULE BELOV
1., LOCATION OF INSTALr1l'i~fC ~S'~cl'~ ,{!J .~. ---
J'I'7'1 ).(. II' )!.pfJ;hOIVJ'." ' " ,- A. Nev Residential-Single or
Multi-Family per dvelling unit.
LEGAL DESCRIPTION Service Included:
J7/)~. .?t. 2'7 6oktJO Items Cost Sum
JOB D~SCRIPTION ~
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, ,
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
18Q days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Address
Ci ty
Phone
Supervisor License Number
Expiration Date
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
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
$ 85.00
$ 15,00
$ 40.00
$ 50.00 c,n ,()O
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
Constr Contr. Number
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
Signature of Supervising Electrician
Ovners Name~~~
Address JL/7l/ .ill, f7 .../!/
City~~~ Phone
OVNER INSTALLATION
,;
'"
The 'installation is being made on
property, I ovn vhich is not 7'ntend
for sale, -lease or ren t.
0~ature:1 /7
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RECEIPT It: &/~J,
RECEIVED BY: 00-
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over' 600 ,amps or 1000
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Nev, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permi t -1 $ 2.00, c:',Q[Y
not included)
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5~ State Surcharge
TOTAL
Glet'..\- \w ()N' \J
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$ 40,00
S 40.00
$ 20,00
$ 36.00
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