HomeMy WebLinkAboutPermit Electrical 1992-12-28
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V zoning and dc.,s not roq"'re spacific Innd use
225 FIFTH STREET approv'al, ,:)
SPRINGFIELD, OREGON 97477 ,~I A
INSPECTION REQUEST: 726-3769' ~I
OFFICE: 726-3759 Dato_Ld~~q_- 9 d-
AuthQrll:id Signature <: <::' 3.
1. IA>Q\nON OF I~STI\!.LA:r ON. "'\ -./
0..1) IJ.J. '-d'O.lJuJIO'UJ A.
,.t.EGAL O,:,SCRIPTION
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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 Contractol\ \\Iht) \J):ulL
Address ~ \ ;) l nit\. ~
City 9~YI01\Q- Phonel.n9,(n-~
supervisor~License Number ,~f1r3~~
Expiration Date \0, \ q ~
Constr Contr. Number '~\~
Expiration Date ,~().,Q '1.q~
Sign~~ S~~~Electrician
IA/~:h (___ XL'/
... / . D.
Owners Name
Address..2n() LO. <. ,ntil )/01,=>D.r'
City ~~, Ph~ne~R1-1I5:VJ
O\INER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
~~~;~-------7~:-~~~~--------
RECEIPT #: .:.J)' -, ' 11),1'-)
RECEIVED BY: (~J ~ )
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City Job Number
COHPLETE FEE SCHEDULE BELOII
New Residential-Single or
Hulti-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 J
201 amps to 400 amps
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 ampslvolts
Reconnect Only
uni t.
'o...,
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00 SO, cD
$ 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 volts
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see "B" above
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Add it ional
Circuit or with Service <2!2.
or Feeder Permit ...1L $ 2.00 ,);).-
E.
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
~
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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