HomeMy WebLinkAboutPermit Electrical 1992-11-24
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. zooma,ll!Id~Mt~~ELECTRihL PERMIT APPLICATION
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Zonlnp LDJ2_City Job Number ~/t6/S-
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- - .3 . COMPLETE FEE SCHEDULE BELOII
1. LOCATIQ..N OF INSTALLATION Authorized slgnatUf('.5,c., .' " . .....1
~ISO 'it(\\I(\(\ ,~.dF2q_ A. Ne'W Residential-Single or
.. Multi-Family per d'Welling unit.
LEGAL DESCRIPTION Service Included:
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225 FIFTH STREET
SPRINGFIELD, OREGON 97477
INSPECTION REQUEST: 726-3769
OFFICE: 726-3759
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JOB. DESCRIPTION
lUlJU 1 J\on~
Permits are non-transferable and expire
if 'Work is not started 'Within 180 days
of issuance or if 'Work is suspended for
180 days. .
2. CONTRACTOR INSTALLATION ONLY
Electrical contractor~~P~O~tJUlIl.~.
Address p~O, ~~g'J... I
Ci tY~ri\~fld J Phone q/j,J -~1. ~fo
Supervisor License Number I t,9,{() S
Expiration Date 10 -I -q~
Constr Contr. Number ().~9.t./..q
Expiration Date q-I-q,~
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Signature of Supervising Electrician
O~r:~--/
o:ers- Name YY\/Ul,. \(" 4 ~ l\J '_
Address~ 150 'itw.rl1\ , J 0, if 2L
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City~} Phone!I.:J..h-81..9...L
OIlNER INSTALLATION
The 'installation is being made on
property I o'Wn 'Which is not intended
for sale, lease or rent.
Owners Signature:
DATE:
RECEIPT II:
RECEIVED BY:
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Items
Cost
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof. .
Each Manuf'd Home or
Modular D'Welling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
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
$ 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 "B" above
D.
Branch Circuits
Ne'W, Alteration or Extension Per Panel,
One Circuit
Each Additional
Circuit or 'With Service
or Feeder Permit
$ 35.00 3:5.00
$ 2.DO
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lighting $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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