HomeMy WebLinkAboutPermit Electrical 1992-7-27
SI.'IINGr:I~LO
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The fOllowing " ' , ~.
Zoning, "nd dt:Oj9ct 99 submmDELECTRICAL PERMIT APPLICATION
apprOval <;'3 not r<a""l.Jir~"1 . "', '.'~l:" me tOlJou"n,>,
. 'I . specifIC', I nl..,i
~ 'one usp-
Zonin9 Ci ty Job Number 92 /.::>.2::?
Dete=1. 27 q OHPi::ETE FEE SCHEDULE BELOV
Authorized
S/gnaturg.
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~25 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1. LOCATION OF INSTALLATION
~11(.,~ ~ri.ll.lfi\ J L:~
LEGAL DESCRIPTION
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JOB DESCRIPTION
u:WJ ~il. t'lI.JI'\AlIO ,~ ..ho~
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if work is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY'
Electrical Contractor ..c..f" €I I O(\t~l ~ 'I &rt.~"
Address-.1.{). ~ J4g~
CitY~ Phone_rt4J-~1-:\t-,
Supervisor License Number ~h~
Expiration Date 10 - , - q 'L
Constr Contr. Number 03g4q
Expiration Date q-I-q ~
U:';;~o/id'"
O",ners Name ~laQ) n'YlOflO ,
Address I~b~ 0flIY\Ui:L> .'
Ci t~ofD..r) 'Phone 14-h - 4...3..11:--'
OVNER INSTALLATION
The installation is being made on
property I o"'n ",hich is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT #:
RECEIVED BY:
7';'?7~"3"2.
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/2' ~;""L- "
'/'
sidential-Single or
Hul ti-Fami y er- dwelling
Service Included:
uni to
Items Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Hanuf'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
$ 85.00
$ 15.00
$ 40.00 '
$ 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
D.
Branch Ci rcuits
$ 40.00
$ 55.00
$ 80.00
volts see "B"
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or ",ith Service
or F~eder Perm~ t
$ 35.00 35.00
$ 2.00
not included)
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
$ 40.00
$ 40.00
$ 20.00
$ 36.00
.~s- 00
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