HomeMy WebLinkAboutPermit Electrical 1992-7-28
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225 FIFTH STREET ! "'~,""ddo'''''''''';;~uites'''''''''^'.,,<\.:';a ,r;\.>1l<ICAL
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SPRINGFIELD, OREGON 97477""'-" '
INSPECTION REQUEST: 726-3769,'.,,:~, Qt- ./ Ci ty Job Number <:::;Jz/.!:::>:?.5'""
OFFICE: 726-3759 ., ..::j':"L, <3':9"L
",..".1_..____ 3 COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF IINSTALLATIllN'~d :';)9Mlu'" C ~ .
'Jf)l ," {'j}-" A. New l\es1oehtial-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/?--t::JZ;~3<::;; -':3?- <!:>tC.~=C'> Items Cost Sum
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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.:s6hJ;'J.rg1 /?./-~~
Address &5- Or-I'M'" <; ,,- ~
Ci ty F.u~-'-_, ..L
- ;
Supervisor License
PhoneZ$.~~& I C[ (/
Ntimberr/, /USr
Expiration Date /()-/ -'13
Constr Contr. Number tSIl/'l
Expiration Date L-1..<r-f''f
. ing Electrician
-I(
Address
Ci ty -' ra-'~ I.dL Phone 7C/(';-/!,,0)
OIlNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
Services or Feeders
Installation, Alterations or
Relocation:
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 40.00
$ 55.00
$ 80.00
see flBt!
above
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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
Branch Circuits
New, Alteration or Extension Per Panel
One Circui t
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
Limi ted Energy/Comm' $ 36.00 ~
Owners Signature:
7~ ?~..!$ z..
-$//~
::;:--./~~ .'
DATE:
RECEIPT #:
RECEIVED ny:
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