HomeMy WebLinkAboutPermit Electrical 1992-3-20
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225 FIFTH STREET ,eppr':aI":'d dona not require specHic I~ PERMIT APPLICATION
'SPRINGFIELD, OREGON 97477 . {, r\Y7 ) 0 .
. INSPECTION REQUEST: 726-3769 Zonl~\L/ Ci ty Job Number r t" 06 > r
OFFICE: .726-3759 . DIlts 3'20':LL -
. . .- ;J../.... ,cOMPLETE FEE SCllEDULE BELO\/'
1. LOCATION OF INSTALLATIo1r"crtzedS/9Il1iture-VV1 .
5' ;Z 'l c ~ AA./ I 7c; fJ t.. . A. New Kes~';".. .:al-Single or
Multi-Family per dwelling unit.
Service Included:
v
LEGAL DESCRIPTION
/7 t) 5 'Z <it: -/,,2_
or 7&0
,.
.' JOB DESCRImON
. C;;=:.I( 1f..S! /fry- 6"/9-,(
Permits 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
Electrical Contractor T;J,p.e,~/T"'~~
Address tfJ'<1'7 E, J f 71. A t/E
City P. ,. r"''<'/~ Phone r;, ct6 -ft5'Z.f{
Supervisor License Number '3 f") I 7 '7
Expiration Date (CJ -:? (
Constr Contr. Number ;;(& ~6 c
Expiration Date
'7 -1 (-7'(
gnature of Supervising Electrician
,~(J~
>1//..1 ,
I
. Owners Name
Address
City
Phone
. OVNER INSTALLATION
The installation is being, made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
-
DATE: \.~ Jlf) .Cj (f. 4 _ .
~~~PT~I~_4l~~ --') ~(J Jc.LJ_
Items Cost Sum
1500 sq.ft. or less / $ 85.00 55 >, d?
Each additional 500
sq. ft or portion L/-;;: OCJ
thereof ~ $ 15.00
Each Manuf'd Home or
Modular Dwelling
Service or Feeder $ 35.00
D.
Services or Feeders (10 Branch Circuits
included). Installation, Alterations
or Relocation:
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
C.
$ 35.00
$ 60.00
$ 90.00
$130.00
$300.00
$ 35.00
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
$ 35.00
$ 40.00
$ 80.00
see "B"
~
above
New, ,Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lighting
. Signal Circui t or
limited energy panel
SUBTOTAL OF ABOVE ~
5% State Surcharge
TOTAL
One Circuit
. . Two to ten Circui ts
Each Addt'l ten or
portion thereof
E.
5.
$ 35.00
$ 50.00
$ 15.00
not included)
$ 36.00
$ 36.00
$ 36.00
"- /aJ 00
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