HomeMy WebLinkAboutPermit Electrical 1992-6-11
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225 FIFTH STREET "'OWln~,p'''j3'.t ," "UO,;<"t,;o 1M In" ,)':~ECTRICAL P'ERHIT APPLICATIO.!!-_~
SPRINGFIELD, OREGON 97477 'C :dddocs:Jctreqdreopoci,iclandusa a c..v
INSPECTION REQUEST: 726-3769'1, ~O" City Job Number -j 20./3-
OFFICE: 726-3759 ZQnI"iJ IV
, {II-:I'. 3. COMPLETE PEE SCHEDULE BELOII
1. q07~ONAt:;;~~,~.=~lgna':'JI0_W A. New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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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
Address
City
Phone
Supervisor License Number
Expiration Date
Constr Contr. Number
Expiration Date
Signature of Supervising Electrician
Owners Name .Jtyrir.) CifftY~CH1CL
Address &)'75 j7f7A'V'/L7.-r./
City ~fiPhone 7~7-'89~-
OIlNER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
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RECEIPT II: ' I 'fit:tt:)(;,
RECEIVED BY: e.b"~.
Items
Sum
Cost
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
'Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
Reconnect Only
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. 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" above
D.
Branch' Circuits
New, Alteration or Extension Per Panel
One Circuit V- $ 35.00 J5".o.o
Each Addi tional
Circuit or with Service
or Feeder Permit --L-- $ 2.00 ~co
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. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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L.BS
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