HomeMy WebLinkAboutPermit Electrical 1992-11-23
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225 FIFTH STREET apP:OVEll, dO nOl require .S;"Cific.!]1J1tetFRt~L
SPRINGFIELD, OREGON 97477 ",.. USe
INSPECTION REQUEST: 726-3769 ~orJog_._.C ( Ci ty Job Number
OFFICE: 726-3759 Oel"-Lt:..~j-;:
Autheti1.od S'~ ';J .:. COMPLETE FEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION ,,,natu,.o~.
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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 <'o^,,jrnl
Address3{)C 4/-"1 "iCi^JDrf:.L
Ci tY~"'Ni ~ Phone
Supervisor License Number <::;'i::'d? LT
Expiration Date
IO-I-c.~
Constr Contr. Number & 5" Jif1
(0 /)~. 90
Expiration Date
Signature of Supervising Electrician
(YJ.hL fhCN/~;;?h
Owners Name-;::Jq. h 'L...,.j.~)",~\
Address-Ll-./ 2- <.. ",At, Ll.
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CitYSf"''"',;C,VI! Phone7lfl- 31:?,'?'
OIlNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-------TI-~-r~-~Cf~---------
RECEIPT #:~j -._ . lO~q;.r
RECEIVED BYl/)V-J A ..J
New ~e~lJcn,~l-Single or
Multi-Family per dwelling
Service Included:
It ems
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:
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
uni t.
Cost
Sum
$ 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
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circui ts
$ 40.00
$ 55.00
$ 80.00
see "B"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm. ~
One Ci-rcu it
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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