HomeMy WebLinkAboutPermit Electrical 1992-10-13
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225 FIFTII STREET WCTRICAL PERMIT APPUCATION
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SPRINGFIELD, OREGON 97~f.7,,~ "'!d does no! recw([};,. QH!~dW#f.~oo" II \ D\'":2...
INSPECTION REQUEST : 726-3769 ~O' Ci ty Job Number '- )
OFFICE: 726-3759 Zoning ,
, I ; 'I - j -0'0 j. COMPLETE PEE SCHEDULE BELOII
1. LOCATION OF INSTALLATION--=LU- II
'1j?,/,? c'AM€ f"il~ ,~Hllano1uro l~ A, New Resid~ntial-Single or
--fliil't1":Filiiiily per dwelling uni t, .
Service Included:
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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. B"
,
Electrical C~ntractor Pb~.s ~:rO:C__
Address /0(,<6' !oJ, 2ND All~
Ci tyJ=.......t 1'" ~ c:-
Phone ~<{3 - 7<f'l-z..
Supervisor License Number Z 7/5 S
Expiration Date /P/'/&J3'
Constr Contr, Number 36 "!77
Expiration Date <I !tS/CJ3
Signat
Items
1000 sq.ft, or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
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
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
-
$ 50.00 '!P-
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C, Temporary Services or Feeders
Installation, Alteration or Relocation
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Owners Name f!o'i 6Rfi'-l
Address 13 7<7 "l'" AJAJ 'I bt2-hJ~
CityEu(;~
Phone b'?''B - 6 7CJS
O\INER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
------------- - 2l!' ---- -------
DATE: ' fYJ' 1<....3 '-Ie-
RECEIPT I: --'-- '... I n(.l
RECEIVED 1>>.:: Iv r~Y~ ~ I \
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D, Branch Circuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
New, Alteration or Extension Per Panel
One Ci,rcui t '
Each Add it i onal
Circuit or with Service
or Feeder Permit q
$ 35.00
$
crl>
2.00 /'if-
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. ' 10 ~
SUBTOTAL OF ABOVE h 0
5%' State Surcharge -; ~
TOTAL 7 I ~