HomeMy WebLinkAboutPermit Electrical 1992-1-31
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225 FIITH STREET _,;\~Ed:~:~~;~d~~;~ ELECTRICAL P'ERHIT APPLICrt5TIO C((
SPRINGFIELD, OREGON 97477 ~ 2"" f}.\P\'\ ~"ZC'..\V ' On I'Q.
INSPECTION REQUEST: 726-~?J>9'9_~~~'~~;itS:~ Ci ty Job Number 701 '--..l
OFFICE: 726-3759 ~i;~~~\~'c\ ;-'~'.^ ~I 3.. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION'Z'O\'\"\\'C' ':""1 .~,.-".",,~"-
?:'Z,b CCNIE'NNIJ.lL_ ."" -- ,';\.A...--N'ew Residential-Single or
'fry -~A I ---:::)4- C5(P~.'''\\'''~ Hulti-Family per dwelling unit.
LE(fAL'Dr..:>\..~PTIOR f'.\;.'\'\;o ",w Service Included:
1-/Ii/VJLfN I1IDPLI7 sc./-Ic;>(?<-. Items Cost Sum
JOB DESCRIPTION .
Lc;JC".- Vo f/ C-.<;IZ.- ~Vl-1ok Dc--!-ec-~ ~
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
At>T
Address 150 ( V-e",,-. I
Ci ty E "'~
Phone ') '11... - I 3/'~
Supervisor License Number ~s L ~L~
Expiration Date
IO-J-Cj':S
Constr Contr. Number 5'1Cj(..,(L(
Expiration Date
4-2-7- C; '(
Signature of Supervising Electrician
1ZJ J~
OVners Nanie ~d7r'"'\.c; (,.1). ,ScJo.A 1),~~:c- J
~ .
Address 5ZS-' 11,'// S/.
City St?r.~f,ufd. Phone 7Z6-'1S:-S-Y
, .
OVNER INSTALLATION
"
The instail~tion is being made on
property I own vhich is not intended
for sale, lease or rent.
Ovners Signature:
~~~;~-----,---~~-r-:q~~----t\--
RECEIPT tt: l- ) I )~
RECEIVED BY: ( "7l.1 ./:'0. -
- I -
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd Home or
, Hodular Dwelling
Service or Feeder
B. Services or Feeders.
Installation, Alt'erations 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
$ 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"
above
~ew, Alteration or Extension Per Panel
On~ Circuit $ 35.00
Each Additional
Circuit or with Service'
or Feeder Permit $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/OutlineLighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
)(.
$ 40.00'
$ 40.00
$ 20.00
$36.00 '
8in ,cD
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