HomeMy WebLinkAboutPermit Electrical 1992-10-1
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225 FIFTH STREET . ,t"n"";;!' ck.o dO\:>6 n . ELECTRICAL PERMIT APPLICATION
SPRINGFIELD OREGON 974T7.pp;{)VS,\. . D~ . .. .. ,.
INSPECTION REQUEST: 726-3769 z.o!\i\l9~~ Ci ty Job Number 720 8tL
OFFICE: " 726-3759 .. \O~ _____
. . "De.te_- . n' \"6 ~OM-P-I:;Elr; l'EE SCHEDULE .BELOV
1. LOCATION OF INSTALlfAT.~QNor\?.ed Slg"atL. .- "
} 2 5' Lt\ '5 C~ c' 0 A. New Residential-Single or
Multi-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
1'7 oz,.~ t7 ~7-, OX7/J/") Items Cost, Sum
2. CONTRACTOR INSTALLATION ONLY B.
, 20- 3()2..~ t(i () -_ l .
Electrical Contractor~ l)(JJ..U~
Add re~sj1r3 CJ ~ . L -ttl-L 0wo_ AJ..!l\A^- W
Ci ty S'5fd. Phone 7'-17oqjCj
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Supervis'or License Number 371QS
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JOB DE~~. IPTION '
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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.
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Expiration Date
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Address?;> ? L t~V'\.- &I-
ei ty Srf.,. I J Phone '7 ?J/, ! t:7tt I
Owners
OVNER INSTALLATION
Theinstaliation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: -
RECEIPT,#:
RECEIVED. BY:
Uo -4 --1L
0?>7 ?
f~
,.
1000sq~ft. or less I
Each additional 500
sq. ft or portion ~
thereof ~tJ).
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00 ~OO
. $ 15.00 ~CJO
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to '400 amps
401 amps to 600 am~s
601 amps to 1000 amps
Ove~ 1000 amps/volts
Reconnect Only
C.
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
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 Circui ts
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
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
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE l-BfJ . C50
5% S ta te Surcharge fa ~ 50
TOTAL 1:O'fp . 50