HomeMy WebLinkAboutPermit Electrical 1992-4-2
225 FIPTB STREET Toe. !qllqwi"9 ~'oJect 8S submitted hao.lhelollOlJtllECTRICAL PERHIT APPLICATION
SPRINGFIELD OREGON 9t477't' ~ncl OQe~40! squire .q~a~UGo. q CM1L.. .. .
IHSPEcrION REQUEST: 726-137' 9 I r; , C/ City JobNumber' ~. . . .
OFFICE: 726-3759 OIl)J'f. 1/ . . . .
Data . /,/ L.1 (~ 3. COMPLETE FEE SCHEDULE BELOV
1. ~CA.xxPN ~~ ~STf\~ru!&""'~ali:I..'e'1)lJ\
~')\ _ \(, \ T\~ . n. ;;~. ,,~.,iJ, tial-Single or
" Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
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. .. ,-.!"OB DJliCRIPTIM. ,/1 1'\ /"l . ~
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 dllys.
1..0t7~ .
~sq;ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'd lIome or
Modular Dwelling
Service or Feeder
Items
Cost
Sum
......--
$ 85.00 .,!55: 0-0
~
$. - c:o>b
15.00. ~.
$ 35.00
2. CONTRACTOR INSTALLATION ONLY B. Services or Feeders (10 Branch Circuits
~ n~ included). Installation, Alterations
Electrical Contracto /I(~ ~ or Relocation:
AddresslCf1()?- \)\1 -.: r 1J..C(2L1<{] 100 amps or less $ 35.00
. fl r- - 'OA, '7<.';-1') 101 amps to 400 amps $ 60.00
CitYl.".,lj([)l 'P c....Phone....::r.::::t?---XO I~ 401 amps to 600 amps $ 90.00
. /)n()D-:<::' 601 amps to 1000 amps $130.00
Supervisor License Number r){ I '()~ . Over 1000 amps/volts $300.00
.10 . \ .q A / - Reconnect Only . $ 35.00
. Expiration Date . A
.Constr Co~tr. Number I.~ <?6 5(0
c!J,~.q3
.Expiration Date
The installation is being. made on
property I own which is not. intended
. for sale, lease or rent;
Owners Signature:.
DATE:
" RECEIPT I:
RECEIVED BY:
~~'t-:-a 't-- ..4 ----
~~,-1\y 1-
C. Temporary Services or Feeders
Installation, Alteratiop or Relocation
:5.#"#~E7.) ~ B/?v4&'u..........-=..
200 amps or iess $ 35.00
201 amps to 400 amps $ 40.00
Over 401 to 600 amps" $ 80.00
Over 600 amps or 1000 volts see liB" above
D.
Branch Circuits
Sign~"of Supervising. Electrician
.i-AI~~. \.\aQ ~'-~ ..
Owners Name'-4\.,~, i\ : . t\
A<idress~~ .\'{\ ~ tr~\ l \ )'\ .
CitY~Pho~e 48S-3\\lo
. ~ ..
OVNER INSTALLATION .
New, Alteration oT'Extension Per Panel
One Circuit
. Two. to ten Circui ts ."
Each Addt'l ten or
portion thereof
$ 35.00
$ 50.00
$ 15.00
E~ Miscellaneous (Service/feeder not included).
-Each -installation
Pump or irrigation
Sign/Outline Lighting
. Signal Circuit or
limited energy panel
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 36.00
$ 36.00
$ 36.00
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