HomeMy WebLinkAboutPermit Electrical 1992-9-24
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225 FIITH STREET " ~~:ling. n"d~g~~j~Ci aSVS~bm.a~d hao'MEECTRICAL P'IffiHIT APPLICATION,
SPRINGFIELD, OREGON 97477 -,.,pre,vel, We rsqUlres 'ecifjclan;~~~owln!l
INSPECTION REQUEST: 726-3769 Z'on/.,g., City Job Number 92.//6b
OFFICE: 726-3759 0 n" ?2f?j .~
"Ie .2:Li'~T'-.:r Q ~ "COMPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INST~LATI6N:il0r;"'Jd 8:9n.tu'a L--I..I
"2-3'-( ( (_L~VL)~ - -A.l-..Ne~dential-Single or
Multi-Famfly-per dwelling unit.
LEGAL D~SCRIPTION /" " " Service IncludEi'd:
S, III C. C g ,1-7'IT7A, r '1 ~t?c.L- Items Cos t Sum
17~::J-:2"7 -/::<~~ 7":Z~
JOB DEScrIPTION, 1000 sq.ft. or less $ 85.00
T4 ()f)ITfOAJ Each additional 500
sq. ft or portion
Permits are non-transferable and expire thereof $ 15.00
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder $ 40.00
2. CONTRAcToR INSTALLATION ONLY B.
Electrical Contractorj) (II/.l!S, 10c:.Gc:.~c..
Address ZID cJ;rc.t....i:> F-f'...
Ci ty ~c/b~ Phone; S 7- I '5 bL--
Superv.isor License Number 3otf/~
Expiration Date /0-(- 91
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less
201 amps to 400 "amps
401 amps to 600 amps
601 amps to 1000 am'ps
Over 1000 amps(volts
Reconnect Only
$ 50.00
$ 60.00
$100'.00
$130.00
$300.00
$ 40.00
Constr Contr. Number '7 JIG 2-
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
r:: - r;, -'13
Signature of Supervising Electrician
, ad;( 5p--- "
Owners Name ST<eve::- C!fcE5S?1/}?1./
Address ;2:5 4/ CU-"74/Z.VIH'?'
<"'~,
..n,
Ci ty :;""JZ.' 1lI6t"rC:CJ> Phone "'1:1";'7 -7Lfo-S-
OlINER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
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 "BII above
New, Alteration or Extension Per Panel
One Circui t /
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 5<:;-
$ 2.00 2---
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
Ovners Signature:
---------------------------------------
'7-2.(..I-~~
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pY/~
DATE:
RECEIPT #:
RECEIVED BY:
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
,1
s7-
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