HomeMy WebLinkAboutPermit Electrical 1992-6-29
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Th., I' . ELECTRICAL P.ERHIT APPLICATION
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97477 20ning and d set Sa SUbmitted h
726-j'l(f9v~I.' oeanol re ul espeeffic"i.~':~f1'''lJob Number qg(100
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225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1.
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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.
The .installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~
~~~~~-----lLi~~ ~c:r~-----------
RECEIPT 1I: (U ndl \
RECEIVED BY: (7\ (l'V)' .
L ~
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Servlce ~luded:
Items Cos t
Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portio~
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
~
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders
. f\'\f\. ^n . C~ Installation, Alterations or
Electrical Contractor lJ. H'tt'S ( .x.u~ARelocation:
Address:4D,~Q. N\~toQT1.o _ 00 amps or less -L-
~. O,A() . ~/_.o(1;1 201 amps to 400 amps
City ,)UI~ Phone?"),(Q' 0-rrc 401 amps to 600 amps
1 fO' f\ l <::::' \ 601 amps to 1000 amps
Supervisor icense Number \~. J ~ Over 1000 amps/volts
( f\., \ . q (\ Reconnec t Only
Expiration Date \ ) .~
Cons t r Con t r. Number .""l14/~
Expiration Date Illl 0/ q ~
Signatur~uper~~~ec~rici~ -
A tJ/ ~_LL
~:Rrtuet r~~_
Address_ ,-~..0.Ct1 ~ )lU0
Ci ty ~,;~([JL -' Phone
OIINER nwrALLATION ...
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over 401
Over 600
or less
to 400 amps
to 600 amps
amps or 1000
D.
Branch Circuits
volts
$
$
$
see "B"
40.00
55.00
80.00
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrig'!tion
Sign/Outline 'Lighting
Limi ted Energy/Res.
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Servic?:)
or Feeder Permit. ~
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2_.0011.0
no t included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00 \
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