HomeMy WebLinkAboutPermit Electrical 1992-8-12
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726-31]'6'90 f6' tf6 City Job Number
t\v1horiz&d Signature
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225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. tOt)I~ OF~nDlfl) dLJ
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Permits are non-transferable and expire
if ~ork is not started ~ithin 180 days
of issuance or if ~ork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~'
Address. A\" [) ~ \ \~ Al~
City fD~ ~hone108f')-I~ \
Supervisor L~cense Number C\PDS
\CJ,\.YL
Expiration Date
Constr Contr. Number ~ 3~
4(~8(q~
Expiration Date
!/t.S~. of Sup.rv~in E ;etrician
==----/A .
. ~ V
O~ners Name \- \...9-. "'\- \ ~.
B4C{~ ~CD\tn1ltuJ)&-
\~ PhoneJ9t-r 3'Aqg
Address
Ci ty \J
OVNER INSTALLATION
The installation is being made on
property I o~n ~hich is not intended
for sale, lease or rent.
Owners Signature:
~~~~~-----~-:-r{I~~-~~~---;-=--
RECEIPT #: ~ jJ ( v, s'YJ'71....{/
RECEIVED BY:\. ,-7vLL~ - /'
y- --
Ne~ Residential-Single or
Multi-Family per d~elling unit.
Service Included:
A.
Items Cost
Sum
1000 sq.ft. or less \
Each additional 500 .
sq. ft or portion (1
thereof 0
Each Manuf'd Home or
Modular D~elling
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
$ 85.00
~
4~
$ 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
10
above
Ne~, Alteration or Extension Per Panel
Miicellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or ~ith 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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