HomeMy WebLinkAboutPermit Electrical 1992-6-11
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225 FIFTH STREET . ' IJ, .lOa aeGS r,ot roqulre Spoc~jc I ~LECTR,[CAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 '"..."''"01.., an Usa .A
INSPECTION REQUEST: 726-3769 Zoning (Dl?)- fMH Ci ty Job Number '92'::?8"< o;z;;r-
OFFICE: 726-3759'. ,I ^ .1f-.^<7
. (, ". \L.LlL'-1L-- 3. COMPLETE FEE SCHEDULE BELOV
1. LOCATION OF INSTALLATION. ''''''o."..,.~:-:l] ,
5'7~\Qhf\l\lfrY\ jh'''''''''\\:-'New Residential-Single or
Multi-Family per dwelling unit.
Service Included:
LEGAL DESCRIPTION
I?-.:? '3 ,~ 7-/'5 _ .o~o
I'
JOB DESCRIPTION
l1WJ .JunT. ~1\(YY\.f J
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 Contractor0...1.,'i P~OIlT~1 ~\ I~'
AddressP.D. ~> ItJ-R1..., _
City~ rl. Phone..11/-~1.3~
Supervisor License Number 110 g h ~
Expiration Date" I D -I - q 1->
Constr Contr. Number o:\~4q
q - {-q ~
Expiration Date "
Signature of Supervising Electrician
LJ./___..efe' ?~
Owners Name C\f(\th~ I (~~
Address 514 i~~ Vlnl\}f('(\ I
City .J~, Phone 7?.t.,-/SttR
OWER INSTALLATION
The installation .is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: h'-//- 9~
RECEIPT >>: ~c:3>/~
RECEIVED IlY: ~~....,~
''/'
It ems
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'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
Cost
Sum
$ 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 ,t 0 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40.00
$ 55.00
$ 80.00
see flBIt
above
New, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or with'Service
or Feeder Permit
$ 35.00 35',00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
SignlOutline Lighting $ 40.00
Limited EnergylRes $ 20.00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
:15,00
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