HomeMy WebLinkAboutPermit Electrical 1992-12-17
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"U!U~}ECTItICAL PEItHLT AP~LICATION n
v Cl'tYJdjob Number q ~ \ l 0 ~ I
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J. COMPLETE FEE SCnEDULE DELOV ~
A. Nev Residential-Single or
~lti-Family per dvelling unit:
Se ice Included:
, .()O Items Cos t' Sum
//7.J\);.,"l 0 sq. ft. or less $ 85.00
:J ach additional 500
sq. ft Or ponion
thereof
Each Hanu f' d 1I0me or
Modular Dvclling
Service or Fcedcr
/
"
zoning, sr.
approva\. TI \2-
225 FIFTII STREET Zoning~l.. ~
SPRINGFIELD, OIlEGON 97/,77 t~"d- '1l-4 0-
INSPECTION REQUEST:Dffi~7 .
OFFICE: 726-3759 AUlhorized Signalll
6u!MOII
1.' LOCATION OF INST~TION . . II
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I () flG~ DESCRIlTIo 0 ((j)
. ~ ~34 .~
, ,
J-, Jon DESCRIPTION ' I ,
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Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuancc Or if vork is suspcnded for
180 days'.
2" COl:lTRACTOIt INSTALLATION ONLY
Inectrical Contractor /l-,z;: aC'/;'L
Address ~ /"'70 c?L:lnu..h,k P,
CI ty ~~ t!Z Phone '1t:(-:;... 771
Supervisor Licensc Number <.57:l S
Expiration Datc /,-,-(-'7S'
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Constr Contr. Numbcr t:.J,{,5. '7
Expiration Datc /...:J-/y-7'.z,
Signature of Supcrvis'
~..-:<..,.""/: .
. Ovners Name I~- (, 'nA ~A [)".-
Address lief. f )/(/0 S--;'
. ./
Ci ty ~;{I r:Jv Phone 7~-~::A
OVNER INSTALLATION
The installation is being made on
propcrty I ovn vhich is not intended
for sale, lcase or rent.
Ovners Signature:
DATE:: 1'L./11 / q '--
RECEIPT n: co,o<:>z.
!IECI-:TVEIl BY: ~,~,
S 15.00
$ 1,0.00
D. Scrviccs or Fccders ! .
Installation, Altcrations 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
$ 50.00 500/
$ 60,00
$100.00
$130.00
$300.00
$ 1,0.00
C. Tcmporary Scrvices Or Fecders
Installation, Alteration or Relocation
200 amps Or lcss
201 amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000
$ 40.00
$ 55.00
$ 80.00
volts sec "D" abovc
Branch Circui ts.
Ncv, Altcration or Extcnsion Pcr Pancl
(lne Cl.rcul t
Each Additional
Circuit or vith Service
or Fecder Permi t'3
$ 35.00
$ 2.00 ~oO
E. Miscellaneous (Servicc/feeder not included)
-Each Installation
Pump or irrigation' $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $20.00
Limited Energy/Com~ $ 36.00
5. SUDTOTAL OF ADOVE
5% State Surcharge
TOTAl.
6G:> .em
;2,80
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