HomeMy WebLinkAboutPermit Electrical 1992-8-14
SI"IIINGt:IELU
225 FIFTH STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
. N\oq DESCRII'T~fi_ _ pJ
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Permi ts are no[transferabllt.-Jnd expire
if work is not started within 180 days
of issuance or if work is suspended for
l80 days.
CONTRACTOR INSTALLATION ONLY
/
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Address
City
~ Phone /
Licens~.
Date ~
~
""
Supervisor
Expiration
of Supervising Electrici~
Ollners ~t><'~I'~~\\' D.
Address 4~CJ~ f~r\o~o I1l 0
Ci ty ~~L~ J Phone V\ftb-cr:l!fJ/
OVNER IN~ALLATION
The installation is being made on
property I own IIhich is not intended
for sale, lease or rent.
Owners Signa~ure: ___ ~
0r~j-~/
~~~;~-------~:t~~-----------
RECEIPT I: I ':')'-1cf1
RECEIVED llY:_~/~ ./ \
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PERMIT APPLICATION
CfA I OLD Co
"'". *
New Residential-Single or
~ul,l Family per dwelling
Service Included:
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd 1I0me or
Modular Dwelling t)
Service or Feeder ~
B.
Services or Feeders
Installation, Alterations or
Relocation:
"!"'" ~ , ,t, .
.. . ""'.'" "".-1 ." . ELECTRICAL
,.. '"'' . ..obmllted ha I"' -
974Tl'Ppro"al. "-'. .!.; requ:r.$penc~~fonoWl~
726-3769? vIYi uelty Job Number
on!r. I " l
D.te - 3. c; MPLETE FEE SCDEDULE BELOV
1. ~~aJo,~IN~N~nst~e-,ot
_I <tf)~Q~~ Orl.QrD
200 amps or less
201 amps to 400 amps
40l amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
Cost
Sum
$ 85.00
$ 15.00
$ 40.00 W)
$ 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 lOOO volts
ch Ci rcuits
$ 40.00
$ 55.00
$ 80.00
see tlB1t
above
t Alteration or Extension Per Panel
One Circuit
Each Add it ional
Circuit or with Servic~
or Feeder Permi t rY
E.
M'iscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Ou tline Ligh t ing
Limited Energy/Res
Lim; ted Energy/Comm.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00
$. 2.00 '4-
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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