HomeMy WebLinkAboutPermit Electrical 1992-9-16
225 FIITH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769 "Zonin~
OFFICE: 726-3759 "',t"_..:'~I.(P_\cO
1. LOCATION OF INSTALLATION'tr.or!zed Signature_~~
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LEGAL DESCRIPTION
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JOB DESCRIPTION
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Permits are non~transferab1e 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 ~~,,-tJ ~~
,
Address 34/-10 EL MA-,()!'>>e
Ci ty /=viUbf. JE- Phone.:7d...4 - t9tP /9
Supervisor License Number ~/~ ~
.
Expiration. Date //9/1 q.2-
Constr Contr. Num,ber ~~'71-
Expiration Date -S:J2.y7:.~
Signature of Supervising Electrician
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Owners Name].>"l.to~A IUJ~lWnODj)
Address
City
Phone
OYNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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RECEIPT #: ,h?-CJ~
RECEIVED BY: ..:1'?~
SI.fIlNGt:ICLU
Ci ty Job Number q 2/7~/ ~
COMPLETE FEE SCHEDULE BELOV
New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
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
Reconnect Only
Items
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Te~po~ary 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
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see' "B1I
above
New, Alteration or Extension Per Panel
One Circui t ~. $ 35.00 .35....t9<J
Each Additional
Circuit or with Service
or Feeder Permit I $ 2.00 2-~P
E. Miscelhineous '(Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/au tlineLigh ting $ 40.00
Limited Energy/Res $ 20.00
Limited, Energy/Comm $ '36~00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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370-0
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