HomeMy WebLinkAboutPermit Electrical 1992-6-9
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225 FIITH STREET .';Q,~l)SS~ile'\lec
SPRINGFIELD, OREGON 97 4 7~_;:'i.'<; ~~~ (\0\ leO:
INSPECTION REQUEST: 72,~;,l.~ti~ L..o'l2./............... Ci ty Job Number ~.:??<9~
OFFICE: 726-3759 ,~.,o,,&\. ~ .--.....
. 1.0(\'\\\1.---- rv:i). COKPLETE FEE SCHEDULE BELOI/
1. LOCATION OF INSTALLATION LP \!!J-.- \9Y/......
lto 0 g 'i.n.t.t.YY\f\.l~c,...----:",..-\.,'>./- A. New Residential-Single or
(f .~o,"'L'-'c','" Hulti-Family per dwelling uni t.
LEGAL DESCRIPTION Service Included:
/7~O~-25-2:2. o..l9'~ Items Cost Sum
JOB DESCRIPTION ~. oLct-~
f'" trvnO(lO. Q.uL.. (lm1 '
Permits are non-transferable and expire
if work is not started within l80.days
of issuance or if work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor..c....~8 PDot'trt.t{l,J1J1\Q.,.
Address P.D ~ '4-g?-, .
Cit;~pJtlm*DJd_, Phone 14/-1-13b
Supervisor License Number I b}l hO
Expiration Date
lD-i-Q'L
D:-\SZJq
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Constr Contr. Number
Expiration Date . q -I:'" q 1....,
a~:;;c~"ddm
Owners Name~~, ~r(1br~ D.
Address 1(,0 g 'i CI J 1yV\ 1U~.l' l
CitY~MmqLlonol, PhonnJ. :;., :,::'~
aU 1+10- 5'L/-if?
O\INER INSTALLATION .
The installation is being made on
property I own which is not intended
for sale, lease or rent.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
the'reof .
Each Hanuf'd Home or
Modula'r Dwelling
Service or'Feeder
.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
.
200 amps or less
201 amps to 400 amps
'Over 401 to 600 amps
Over 600 amps or 1000 volts
$ 85.00
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100.00
$130;00
$300.00
$ 40.00
$ 40.00
$ 55.00
$ 80.00
see "B"
ahove
Branch Circuits
New, Alteration or Extension Per Panel
One Ci.rcui t
Each Additional
Circuit or with Service
or Feeder Permit
$ 35.00 35'.00
$ 2.00 J...OO
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
Owners Signature:
DATE: {!;'9.9..:2
RECEIPT II: t/-94/.:..
RECEIVED BY: ~~.........
'r
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5. SUBTOTAL OF ABOVE .
5% State Surcharge
TOTAL
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