HomeMy WebLinkAboutPermit Electrical 1992-1-7
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SPRINGFIELD, OREGON 97477 ~.\,,:;;:';P"
INSPEC:ION ~QUEST: 726 -3, ,:,~~,~,'?r~;;~;G("'
OFFICE. 726 3759 ,."""",';'.'i.- ,,//
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1. LOCATION OF INSTAi:~*~6N:,::.';/' ru' .
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LEGAL DESCRIi'TION ,fo/ 6~/l
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City Job Number
or (~7LI
E FEE SCHEDULE BELOV
JOB DESI(ll.IPTION -"
'7't71/1fJ pO'w~7f. PD LE
Permits are non-transferable and expire
if vork is not started vi thin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor T W t:
Address Pb ~D';( 1tl
Ci ty !) b P-/ IU b,{)1. Phone &(~f-b 1 tI
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Supervisor License Number ,)(~6Jf.--5
Expiration Date J 0 Jet ')
'Constr Contr. Numbe/ (0 l./lf 0 b
Expiration Date
"fl:'j ''ti1:jJ;;d~
Olo'ners Name A P G'/)
Address
City Phone
OVNER INSTALLATION
The installation is being made on
property I olo'n Io'hich is not intended
for sale, lease or rent.
Owners Signature:
---------------------------------------
DATE: I ~1 -'1-z..--
RECEIPT 11: ~llQ Y>
RECEIVED DY: () ~
Nelo' Residential-Single or
Multi-Family per dlo'el1ing
Service Included:
1000 sq.ft. or less
Each additional 500
sq, ft or portion
thereof
Each Manuf'd Home or
Modular DIo'e11ing
Service or Feeder
Items
uni t.
Cost
Sum
$ 85.00
$ 15.00
$ 40.00
Services or Feeders
Installation, Alterations or
Relocation:
B.
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
C.
$ 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
D.
Branch Circuits
/
$ 40.00
$ 55.00
$ 80.00
see "B"
406b
volts
above
Nev, Alteration or Extension Per Panel
One Circuit
Each Additional
Circuit or Io'ith Service
or Feeder Permit
$ 35.00
$ 2.00
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
5. SUBTOTAL OF ADOVE
5% State Surcharge
TOTAL
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