HomeMy WebLinkAboutPermit Electrical 1992-4-30
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225 FIFTD STREET O"l~ iing. . iO"'I{"('CE~~CAL pEilHIT APPLICATION
SPRINGFIELI>, OREGON 9]477- . 0-... . . , ., n/~-,7
~~~~~0~2~~~~: 1'ir;..,3;7~2ir;n"Ii:_,,_l ~Ye3'. City Job Number. q 7.--uwo,o
'. -f;;;!:::fi~ COHPLETE FEE SCUEDULE BELOll
1 ~ LOCATION OF INSTALLATION -, --.. __ _,_,
.~. ')0 (-rIttW~ P7L.vO. A. New Residential-Single or .
Hulti-Family per dwelling unit.
Service Included:
B. Services or Feeders (10 Branch Circuits
included). Installation, Alterations
5t~ t-,Jtw""",,?r ,Relocation:
Jt..C7 . 100 amps or less
101 amps to 400 amps.
401 amps to 600 amps
601 amps to 1000 amps
Over 1000 amps/volts
Reconnect Only
11.j~~~mON 0 17 00..
JOB DESCRIPTION
D/~ :~" )( 70 t. 1t--L.C/M. 41 t;;o.I
-. Awl%1 1b eXISTlJJ1 S/~'^'
Permits are non-transferable and expire
if work is.not started within 180 days
of issuance or if work is. suspen~ed for
180 days.
2.. CONTRACfOR INSTALLATI!)N ONLY
Electrical Contractor Gv.,~G.
Address
12.1.1:> l71\K. PA'Ivl-f
<:i ty /;..vio1~'-
Phone 'fee:; - ~4{,
Supervisor License Number 1-(.0 $oj::
Expiration Da'te J - 13 -"13
Items
1500 sq,ft. or less
Each additional 500
. sq. ft or portion
thereof .
Each Hanuf'd Home or
Hodular Dwelling
Service'or Feeder
Cost
.Sum
$ 85.00
$ 15.00
$ 35.00
$ 35.00
$ 60.00
$ 90.00 .
$130.00
$300.00.
$ 35.00
Constr Contr. Number 2.0 - 2..<;S c..L-5
C. Temporary Services or Feeders
Installation, Alteration or Relocation
Expiration Date
/tJ- , -~3
Si#~S~triCian
Owners NamcIh.p /)JWV- ! lNLf..erJ/?) D.
Address :::3~6D nrd--r'~
City . Phone 0
01lNER INSTALLATION.
The installation is being made on
property .1 own which is not intended
for. sale, lease or rent.
200 amps or less
201 amps to 400 amps
Over 401 to'600.amps
Over 600 amps or'lOOO volts
,
Branch Ci rcuits ,
$ 35.00
$ 40.00
$ 80.00
see "Bn above
,
New; ~lteration or Extension Per Panel
One Circuit
Two to ten Circuits
Each Addt'l ten or
portion thereof
$ 35.00
$,50.00
$ 15.00
E. Hiscellaneous (Service/feeder not included)
-Each installation ,
Pump or irrigation $ 36.00
Sign/Outline Lighting' CH(c... $ 36-:-e&
Signal Circuit or 040,. eo
limited energy panel $ 36.00
Ovners Signature:
DATE:.....::{- -:.CO ,-q_7.~
RECEIPT V: . {{r' f(/>
RECEIVED BY: r. ~"':""'o
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
qp,OO'
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