HomeMy WebLinkAboutPermit Electrical 1992-9-14
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225 FIFTH STREET "t\'\8 \oi\OIN\~~d';,es not ie ,
SPRINGFIELD, OREGON 9~:;t1;~;c~~' ~ q n J f) 7\0.
INSPECTION REQUEST: 726-37~2n\i\~L..-'-'- Ci ty Job Number .-c:< lCi( J( ~
OFFICE: 726-3759 t'j/4lCQ-- _______
'y:' "'....--J.---'" "r' ~3....--cc5HPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION"..' ;3\gp::X(l"G_-
575 t.v. (!ENmlJiJ/R'L. A.
B. Services or Feeders
Installation, Alterations or
Electrical Contractort'~btl~J)~1) ~~~~ Relocation:
Address gb5 tv; 6JJJD Sir. 200 amps or less
201 amps to 400 amps
Phone #5....3C:.39 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
LEG~E^qqPTION
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.........
JOB DESCRIPTION
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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.
2.
CONTRACTOR INSTALLATION ONLY
C i t y G$16..&JJV br'
Supervisor License Number
':l SC,o ~9
JO} I lq')
Expiration Date
Constr Contr. Number 5:f~
EY a ion Date /-23-93
s gn (ure /J.SUP1\i.(.:;) ~an
'71J Y//~/
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t?)JR;..Jrb /l M /1 D.
~ Name HlAJJ ~(:LRIJ...I
Address ~'1~ L.A.). ~io.f'tJl,Jift1
City :tf.iC' PhnneJ4b-{'^-~06
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~::-:~----~~. '~~-\~i;~-
RECEIVED BY: \iL/,c H, J -, "'<.
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
Cost
Sum
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see liB" above
New, Alteration or Extension Per Panel
One Circuit /
Each Additional
Circuit or with Service
or Feeder Permit /~
$ 35.00 3S.~
$ 2. 00 do. C?E-
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/CQmm $ 36.00
5. SUBTOTAL OF ABOVE 55- ~
5% State Surcharge ~.15_
TOTAL ;11 fj-7, 75
8lLe>p ~e ~ 66.~
~th'17;}- L~ ~ /1 :~. '75
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