HomeMy WebLinkAboutPermit Electrical 1992-4-27
S."..INGFIELO
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225 FIITO STREET . Iv",. -U"R "Oll~' SC'bm"!.,, ELECTRICAL PERMIT APPLICATION
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SPRINGFIELD, OREGON 97477 ;"'zJ;9 POcli:'c(fhefol1 iT'll f\nc(
INSPECTION REQUEST: 726-3:1f~9 Li"::';.. ~ . ~Chy"~~ Number '-""\ H,'"'l'-.J
OFFICE: 726-3759 Aut,. ---..::::c: _.. . .
",c,~"" Sic'l -, . COMPLETE FEE SCHEDULE BELOV
1. LO~TION OF, I,NSTtLMTION C'.L ,. OIt:;'---:r-1\ /
'\ :-JIO t-\(J u~. "'i~~w Residential-Single or
- Mult1~E~ly per dwelling unit.
I ~PAJ:QN... :::21 Service Included:
\ IS UoIl H \ hi l h. ) gg;' Items Cost
C~B pEl)CRIP'U~ of\i'\~ ~\ -----I), /~ol 1000 sq.ft. or less I
0" \~ tl( }, Q J \j. 11.\ -.J) Each additional 500
- sq. ft or portion /.2..
Permits are non-transferable and expire thereof " )
if work is not started within 180 days Each Manuf'd Home or
of issuance or if work is suspended for Modular Dwelling
180 days. Service or Feeder
2. CONTRACTOR INSTALLATION ONLY B.
Electrical contractor~ .-If i oN1llb
Address?O ~J (~f) \
Ci ty fl.o11 1\ n ./ Phone 0.35 --'52. \0
Supervisor License Number PA\of2- S
Date\().\.q~
Expiration
Constr Contr. Numberl a\ OIG\. q
Expiration Date LD .4.C1 fJ...
Signature of Supervising Electrician
,,9 (J,J(y(
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Address S'44UCX\o O~~
CitYZ_~___ PhoneVJ<63-Z5{/ f
OVNER INSTALLATION
The .installation-is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
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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
Sum
$ 85.00
B5
46
$ 15.00
$ 40.00
$ 50.00
$ 60.00
$100,00
$130.00
$300.00
$ 40.00
Temporary Services or'Feeders
Installation, Alteration or Relocation
200 amps or less ~$ 40.00 ~
201 amps to 400 amps $ 55.00
Over 401 to 600 amps $ 80.00
Over 600 amps or 1000 volts see "B" above
New, Alteration or Extension Per Panel
$ 35.00
$ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Ptlmp or irrigation $ 40.00
Sign/Outline Lighting $ 40,00
Limi ted Energy/Res $ 20,00
Limited Energy/Comm $ 36.00
5. SUBTOTAL OF ABOVE \~,
5% State Surcharge ~.~)
TOTAL \ 1\ P4,":"CJ
C.
D.
Branch Circuits
One Circui.t
Each Additional
Circuit or with Service
or Feeder Permi t