HomeMy WebLinkAboutPermit Electrical 1992-8-20
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~ ELECTRICAL PERMIT APPLICATION
97477 .. onin qn r:1
726_37~IO_' G- City Job Number_ "{ !.oJ ~:..)_'
AUlho"=od S!Qr",'u ~ rw
, ~\j\. ('nMPLETE FEE SCHEDULE BELO\l
1. LOCATION OF INSTALLATION
3 -Stir; ~/./Iofl:.eide..t. ~
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225 FlITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
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.
2, CONTRACTOR INSTALLATION ONLY
Electrical Contractor 'P/)rrzr<~/s ~
Address /069: ~'1 z...o1:) /:)v&Jli[;
Ci ty b.1.~~
Phone .sLf.? -7t/clZ-
Supervisor License Number J 7 Ie, ~
Expiration Date /O/C,7_
Constr Contr. Number ~h::! 77
Expiration Date,
" //"5 / t:J -z.
Signat
rvis:2~
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Owners Name "/Z&.f r.,!?1ft(
Address_/~ '7q 5'-fNA l..{ "l:>(u::\Je
Ci ty E?Mr;~e.
Phone~-b~~~
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
D~~~~----pr~[p~17J7---_-------
RECEIPT 1I: J I '='1' ~
RECEIVED BY: ~I. C 1'_ ~ _ ). - 'L' \
A.
New Residential-Single or
Multi-Family per dwelling
Service Included:
Items
1000 sq.ft, or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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 1000 amps
Over 1000 amps/volts
Reconnec t Only'
C.
uni to
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
00
~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"
D.
Branch Circuits
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
$ 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 S 20.00
Limited Energy/Comm S 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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