HomeMy WebLinkAboutPermit Electrical 1992-3-31
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97 41lle foll9W1ng projeet a~ submItted hac tha tot' ' C) /') D ~ c-
INSPECTION REQUEST: 72-6>AI),G~d does not raQVt.li e ilpaoific 'lAnd ue~~~ Job Number .. / .d--.' ",i) { LJ
OFFICE: 726-3759 approval. ~ '
(! ;fLv)/1e y #~/I/e. Zoning . 3. COMPLETE FEE SCHEDULE BELOV
1. .LOCATION OF 16sTAL.l~itON. '6' '~..'."
/J/~ ~N/I1L--?,<?F::l:' ,. New Residential-Single or
.' M.":"~J~ Multi-Family 'per dwelling uni t.
\ -rre~~\ a--l ro- SetVl"ce" lncluded:
->.-'.'.'.~r-'L;:LU
JOB DESCRIPTION 1000 sq. ft. or less'
1tf/S-QftL- (!JtH~tJ~,f ~ k~1It- (lA/ . Each addi tional 500
/1t7ft; ey.J5 - ~!) ,f~ tJU{teI'- / P SI11kc... sq. f t or por t i on
Permi ts are non-transferable and expire ~14 - thereof
if work is not started within 180 days Each Manuf'd Home or
of fssuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
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2. CONTRAeTOR INSTALLATION-ONLr__________
E~~l Con trac tor .:5.At/c (J~' EtECt:
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Address jJ.&. I5{)X d-B/54
Ci ty ,6v~t:- tJ,e Phone 3~r-f'1~8'
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Supervisor License Number 33r3....S
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Exp~tion Date 5-/7.,- cr 3, ,. /.
Signaf r~ of Supervisin~-Electdcian
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\EXPiration Date /IJ-I-~~
~onstr Contr. Number 56697
Address
City Phone
OVNER INSTALLATION
,
The insta~la~ion is being made on
property t own which is not intended
for sale, lease or rent.
Ovners Signature:
---------------------------------------
DATE:
RECEIPT tt:
RECEIVED BY:
3- '3/, c,z:.-
4/ J S- .
1'1AL0;L~
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 lobo amps
Over 1000 amps/volts
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ qO.OO
$ 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
D. Branch Circuits
$ 40.00
$ 55.00
$ 80.00'
see "B" above
New, Alteration or Extension Per Panel
One Ci,rcui t /
Each Additional
Circuit or with Service
or Feeder Permi t
$ 35; 00 !f)5:t7CJ
$ 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
5% State Surcharge
TOTAL
336.0C?
(.7~
.3.6 ~ 7~
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