HomeMy WebLinkAboutPermit Electrical 1992-8-19
225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 Ci ty Job Number 9-:2// S/ 3
OFFICE: 726-3759
1. LOCATIONrOF INSTALLATIO~ n
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LEGAL DESCRIPTION
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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.
Supervisor License Number /5'/ ") ,5
Expiration Date /~-~:z
Constr Contr. Number o 22-S;-O
Expiration Date / /..~ L
Signature of Supervising Electrician
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o:n:r: Name '/I~ t:4/~~~~7'2
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: ~ '/"';9~9:;:>
RECEIPT #: ~ 50
RECEIVED BY: ~_~.
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3. COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
A.
Items Cost
Sum
1000 sq. ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof, $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
C.
y
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C/o
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
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
$ 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 UO ~
5% S ta te Surcharge ' "2 -z;::;:'
TOTAL '/2"- ?!>~
D.
Branch Circuits
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
Installation, Alterations or
Electrical Contractor,~~~~~~~, Relocation:
Address S?LJ =?S C:;;~-5L~ hv 200 amps or less
201 amps to 400 amps
Ci ty F~~E Phone 771:/---&767 / 401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit