HomeMy WebLinkAboutPermit Electrical 1992-8-4
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225 FIITH STREET The. fc/Jowin,., .' r; ELECTRICAL P'ERHIT APPLICATION
ZOnn1g '. ,'" P"oject Cl~
SPRINGFIELD, OREGON 97477 e.P.oiOv~t1adOf;$not;;S(!bm edh s CQne'JJt.~
INSPECTION REQUEST: 726-3769 '. ~-q e. eCjf~~tQefg/lm-lr1lJumber }lb"
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OFFICE: 726-3759 Otlte-a~'1~?J .--CO~TE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATIONAuth)' -......~ JA
S:>'S Co_~(' L:::. cf,JLJ r:;rsZed SigllfltlJre V_'(JNew Residential-Single or
~~li=!amily per dwelling unit.
LEGAL DESCRIPTION Servic~d:
/jO:;)3,S?,?,. O<l:){J() Items Cost Sum
JOB ~CRIPTION
'~~p 70fl~'
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
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name r~'" -r-, v-;" \ ' BVt:LC::;:..
Address 2.".2..:<"::> VY\r~.5rL.
C i t Y ~ 't" '\ V"c. ~.LCi r~Ph on e -C:)tn - , <::;/:;'-/
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OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIPT #: t;/~C)
RECEIVED BY: ~
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
200 amps or less $ 50.00
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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"
40. no
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00
$ 2.00
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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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