HomeMy WebLinkAboutPermit Electrical 1992-6-11
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225 FIFTH STREET " and do",,' not req~rOm^~:dra~ Ih1 ("!,ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 ,"V2!, ~ "~e"c on usa
INSPECTION REQUEST: 726-3~901'rg. ~\\\ \ \ Ci ty Job Number Q2.?>S'22-.
OFFICE: 726-3759 ~.', \.
- '--- r:J. ,\3. COMPLETE FEE SCHEDULE BELOV "*
1. LOCATION OF INSTALllAT-ION--':2n, iUfC V\N
---Z.i<:::n L~v...... ~ -#' I f - A:-New-Residen t ial-Single or
Multi-Family per dwelling unit. :,
LEGAL DESCRIPTION Service Included:
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JOB DESQRJPTION r
p,,\~ (,tMJU /.k.l'f-'il..........., c.lh~'
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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 C~rLt1i {!(~~,\..
Address p, (J ,io~ 2.' If
Ci ty 1'or<..! J Phone '7 tfc{ -O'?o S-
Supervisor License Number '"S~&, - ~
Expiration Date '!!}({J-(e;?,
I C.
Constr Contr. Number f) ~'ll( ~
Expiration Date <:'""f{ )(c;?,
Signature of Supervising Electrician
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Owners Name iY1 ~~ ,~~
. Address ~"O L~~4. ~ / I -
City <\r-"(C(c!. Phone 7'fG-,glQ
OI/NER INSTALLATION ,.
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
O\lners Signature:
DATE: c::.-//~'7~
RECEIPT #: ~3o
RECEIVED BY: // ~
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Items Cost Sum
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portion
thereof $ 15.00
Each l1anufrd Home or
Modular Dwelling
Service or Feeder $ 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
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
$ 40.00
$ 55.00
$ 80.00
volts see "B" above
Branch Ci rcuits
New, Alteration or Extension Per Panel
One Circui t ( $ 35.00 ~-S-
Each Additional ;
Circuit or with Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40.00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36.00
5. ? )"', -=--=
SUBTOTAL OF ABOVE ~
5% State Surcharge /. 2~
TOTAL ~~ 7/}:; -