HomeMy WebLinkAboutPermit Electrical 1992-4-8
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225 FIITH STREET Z'6nll'~. ';~~lfmllb,irltr!.~l/J>rr/l!l ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97~;:f'!""dfl ""'''''~tl''-'l/'lr,i~f?llfeJl1,f~iRi''if:fi. :!;g.!:v~ ~,!"
INSPECTION REQUEST: 726-372.J.._ "rvJ) .. fIJ,&'I, Ci'Yy Job Number
OFFICE: 726-3759" I 2r~ '
t.:~IO_~ ---"-j':-' COMPLETE FEE SCHEDULE BELOIl
1. LOCATION OF INSTAY!.~~Slg' -( r (
?-LJ b_S- COl?~.....v,...J~~ A. New Res1dential-S1ngle or
-'-'-=';MW_",f~m1ly per dwell1ng un1 t.
LEGAL DESCRIPTION Service Included:
/ ~l':5 2...<;" 43 CJI5'c72/ Items Cost Sum
JOB DESCRIPTION
::z. A//!.. CZJ7'JJ, LdAJ/n(t!J-'.) ~llP)
Perm1ts are non-transferable and exp1re
1f work 1S not started w1th1n 180 days
of 1ssuance or if work is suspended for
180 days.
d:_CONTRACTOR INSTALLATION ONLY
I Electncal ContractorZ)qf"nl r;1~,J ,..i".
I Address37:2~",x D-"~1 R)
II City /9 / bfl",;;{CJn. Phone Cf11ftlifZ-
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Constr Contr. Number22~ '-16.'7,
Expiration Date
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~~~s::e^:;]rv~~~:~t)~an
Owne;s Name r, p J)",O A /r;;:.
Address_rl. 0 -h ~ C:r>L i.o,.,~
CltyY rrl d. Phone /C/ 6-6 V5 7.
01lNER INSTALLATION
The 1nstallation 1S be1ng made on
property I own Wh1ch IS not 1ntended
for sale, lease or rent.
Owners SIgnature:
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RECEIPT 1I: ~ _ " -~J 1M
RECEIVED BY: '- J\/,( llA.. -/'I
1000 sq.ft. or less
Each add1tlonal 500
sq. ft or port1on
thereof
Each Manuf'd Home or
Modular Dwelling
Serv1ce or Feeder
$ 85.00
$ 15 00
$ 40.00
SerV1ces or Feeders
Installation, Alterations or
Relocation:
B.
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
$ 50 00
$ 60 00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Serv1ces or Feeders
Installation, A1terat1on or Relocat1on
200 amps or less $ 40,00
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80 00
Over 600 amps or 1000 volts see "B" above
D.
Branch C1 rcui ts
New, Alteration or Extension Per Panel
~
One CnCU1 t
Each Add1 tlonal
C1rcu1t or w1th Serv1ce
or Feeder Perm1t )
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,'-,
E, M1scellaneous (Serv1ce/feeder
-Each 1nstallat1on
Pump or 1rr1gatlon
Slgn/Outl1ne Llght1ng
L1m1ted Energy/Res
L1m1ted Energy/Comm
$ 35 00 .:1 s=- -
$ 2 00 2
not 1ncluded)
$
$
$
$
31-
. I.?tS
r ~ !?" FS---'
40 00
40 00
20 00
36 00