HomeMy WebLinkAboutPermit Electrical 1992-6-11
S.".IINGr-IELO
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.' ,:c';;'Mnq pro'.c' ELECTRICAL P'ERHIT APPLICATION
1"0 i'!nd l J . as submft~ d
"~'~!. . (,o~". nb~~~)::Cif~;'tY ~~~;'N~mber q:z ~ ?66
20,....':1Q , '--"
L', tQJ1~ COHPbErE FEE SCHEDULE BELOII
.. -.""!2n~"'JAWew Residential-Single or
. Muhi:-Family. per dwelling uni to
Service Included:
225 FIITB STREET
SPRINGFIELD, OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
97477
726-3769
1.
LOCATION OF iNSTALLATION
c.~ ~.~ ~,,,,",-,_'
LEGAL DESCRIPTION
/7--r::T?'~./2 __ /.tf'~
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"
.J:\..22! ~9}lPTION ,
~ /4erl---1 P,^""I) ~
r.:...-.. tN"'M\IV~
~ermits 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 B.
Electrical Contractor C~~ ~k
Address .f,v l tbt.--L 'l..~ l.(
City W~""",I1t. ~hone 1')~I.(-o'10\
Supervisor License Number ~G?~~
Expiration Date...$/() /'f~
I I C.
Constr Contr. Number ~~~
Expiration Date S/ffC/q3
I /
Sig~a;ure of Supervising Electrician
A(. C~ ·
Owners Name \)(tII.cl ~~~S'
Address (., 1."1 ~: k /0/ ~
Ci ty <) r;:P- WPhone V) 'f' - ~'1"'f
I'
O\INER INSTALLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Sign~ture:
DATE:
RECEIPT jj:
RECEIVED BY:
'::;-1/-92-
~3P
//~
r
Items
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular 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
Cost
Sum
$ 85.00
$ 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
201 .amps to 400 amps
Over 401 to 600 amps
Over 600 amps or 1000 volts
D.
Branch Circuits
$ 40,00
$ 55.00
$ 80.00
see "Bn
above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outlini Lighting
Limited Energy/Res
Limited Energy/Comm
One CircuIt
Each Addi tional
Circuit or WIth Service
or Feeder Permit'
E.
5.
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
$ 35.00 ?5'
$ 2. 00 2..
not included)
$ 40.00
$ 40,00
$ 20.00
$ 36,00
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