HomeMy WebLinkAboutPermit Electrical 1992-6-30
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ELECTRICAL PERMIT APPLICATION
97477 The fOl/owln' . 17 f\ (, C..{, f'\
726-3Z,~g.and~~~J.cta.aubmittadh City Job Number Ifj JuJd-.,
pproval. no! requira specffJc,%~he fOllOWIng
Zonin 3 COMP\'1ffle FEE SCHEDULE BELOII
If OR'd.I~ ,0t\tNSTALLAT {l
225 frITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
11C3~~~~~ON ()C2
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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.
(11 )
Electrical contra~
Address q~(j L!I.),
City S ~ 110 Pho~ WY;~--676()
Supervisor Llcense Number ffi ()()S
to . t .q Q
Constr Contr. Number l){ oCoA4-
In: I().q~
, Expiration Date
Expiration Date
-
Sign~ of su~ ising Electrician,
(/-Vc If'~
: ~ \ Jii.rn.QjJ )
AddressJ () 0'" iQ i l ~rh.J Q..I),
Ci ty ,~Ld Ph:ne:Jil1o .~ 137
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OIlNER INSTALLATION
Owners
The installation is being made on
property I own which is not 'intended
for sale, lease or rent.'
I.',
Ovners Signature:
.
-
DATE: r()-~~-~{")-~~-----------
RECEIPT.: ,-')" ~,",,> l:L-
RECEIVED BY:.J::7\I) YA /
ew Residential-Single or
Multi-Family per dwelling
Service Included:
uni t.
Items Cost Sum
1000 sq.ft. or less { $ 85.00 ~5
Each additional 500
sq. ft or portion ~ .J5
thereof $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
$ 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
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
200 amps or less
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
D.
Branch Circuits
"
volts
$ 40.00
$ 55.00
$ 80.00
see fiB"
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
.
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$
2.00
no t included)
I
$
S
$
$
Iq(p .CO
y~
&.0';) ,h:2
40,00
40.00
20.00
36,00
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