HomeMy WebLinkAboutPermit Electrical 1992-5-29
SI.IIINCt'=I(Z.LU
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION or J,NSTA!J.ATION r '
1<;/0 5. t4' ~r ;,"(-<:,(,.2
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-!l}B DESCRIPTIQt! ,
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Permits are non-transferable and expire
if york is not started within 180 days
of issuance or if york is .suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractorll{,L~.'_ t.,,,,-<: tAJ
Address /!.O fL~ , rr
City
r ~aif....,."~ll ,
Phone -?f't-'(6Vr
Supervisor License Number 3376 '5
Expiration Date
/0-/- 97.----
Constr Contr. Number
-----
t.. C)---Q 0..,
Expiration Date
s- r<l:'-9,
sign~re of Supervising Electrician
H.J a ~'--
.ovners Name_ ~4 e.. ~h10 ~
Address l6"{1..1fJ f?tSr~
Ci ty ~~ (r) Phone
OIlNER \ Irk}ALLA;ION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~~~----~~~~-~~-~~----~----~---
RECEIPT #: u~~ 4" IVI' "-/
RECEIVED B1UY'C^---" . I c.J
3. COMPLETE FEE SCHEDULE BELOII
A. Nev Residential-Single or
Multi-Family per dvelling unit.
Service Included:
1000 sq. f to or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Items Cos t
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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
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 Circ~i t f $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit ~ $ 2.00
Q5.CO
4 ,cD
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limit~d Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
no t included)
$ 40.00
$40.00
$ 20.00
$ 36.00
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