HomeMy WebLinkAboutPermit Electrical 1992-10-7
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97477, ";1. ""'OO~~O~~~Ir.~.Sil6 ELECTRICAL PERMIT n,?\~'(\I?\\
726'::!.'!il,.69/~"'i;'C ';pV9i1lro:iIt&C/I,City Job Number ~\ol tJ.0.
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'<?e<; ~i 2-"'-2' CO~~..V,EE, SCDEDULE BELOII
1. ,LJllf~, OF INSTALLATION rl.!~I/Jr. "-.... & "q ......
_ '""A1.)-,\ :-T\") l ~) o...(t.( A. New Residential-Single or
- . (\ __~ Multi-Family per dwelling unit.
I ><!!J!!)~nn ~ Service Included: Items Cost
225 FIITH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
~~:~r.~~~" o.d ..,1..
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor
Addres~ .
.City ~. Phone
./'
",/
Supervisor
Expiration
Constr
on Date ~
Supervising Elec~an
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Ilome or
Modular Dwelling
Service or Feeder
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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 volts
$ 40.00
$ 55.00
$ 80.00
see "Bit
40 CO
above
Owners Na~.J?'\1J\ bo. ~(\ ~~ h ~ Branch Circui ts
. '. r'\ (d..~ V 1\ . New, Alteration or Extension Per Panel
Address t J ~ Y\.!?\ U
City \\\H~S-\i~p~one C4{cd11oJ ~:~hC~~~~~~onal $ 35.00
, ~/) Circuit or with Service
OIlNER INSTALLATIO (\~ or Feeder Permit $ 2.00
The ins talla tion is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~A~;~~--~-----;-----~~JFJ~1=f~----
RECEIPT #: ~~. I~'- I
RECEIVED BY4- / )(~,
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
Limited Energy/Res
Limited Energy/Comm
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
not included)
$
$
$
$ 36.00
4{)~
.Al.UU
-=tS I YJ
40.00
40.00
20.00