HomeMy WebLinkAboutPermit Electrical 1992-6-15
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225 FIIT~' S~~ ThAfO!I""'lngpro:8das,",b~n'''h**'''.~L PERMIT APPLICATION
SPRINGFIELD OREGON 97477 l.cning, end d_ nol reQultUlleolllc tW'
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INSPECTION REQUEST: 726-376l/ '. n.} City Job Number 92<:::>$:::::6
OFFICE: 726-3759 Zonml' \' .
, 0<11<: I" . \Sii (i.,. ~HPLETE FEE SCHEDULE BE LOll
1. LOCATION OF INSTALLATIO~utiIO~~ ~~nature~ \ U '.. .. .. .
,-/qLo ~ Ic-uJ . -.\. - . . ..c~.""..."a.-Slngle or
Hulti-Family per dwelling unit.
LEGAL DESCRIPTION Service Included:
/77:7~'..z...,,:;~_ ~-;;?.f??'>C> Items Cost Sum
,
JOB DESCRIPTION 75 '. ..'
.4u:;?C:::::/Y ~.?-/T ~ ~~ ,
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 ContractollREGotl ELECTRIC SEnIJICE
Addres~}o t.J irl.. PI . EIA-O~
I
City ~"...~... Phone~~.=:,' Iln'i?l
- \
Supervisor License Number \ AOI::-.. :"
. Expiration Date \0 \ Q&
Constr Contr. Number .,?.<;(-oo I
Expiration Date \O\Q~
Si~ture of Supervising Electrician
7~'1.MA1.-.. (\) lea." /
Owners Nam~f\t- SlMf\ ~~ \00 fu.
Addre~s 4C\w \:h~ ~f) U
Ci ty <Xr\ C li\' Phone
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01lNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent.
Owners Signature:
DATE: h7S'~<
RECEIPT #: _ ."" ) I.~
RECEIVED BY:./" ~J1...""'" '.'~
//
1000 sq.ft. or less
Each additional 500
sq. ft or porJipn
thereof !
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
B.
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
C.
$ 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 "B" above
New, Alteration or Extension Per Panel
Miscellaneous (Service/feeder
-Each installation
Pump or irrigation
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
One Circuit
Each Additional
Circuit or with Service
or Feeder Permit
E.
, 5. SUBTOTAL OF ABOVE
5% State Surcharge
'TOTAL
$ 35.00 ~"-O
$ 2.00
not included)
$ 40.00
$ 40.00
$ 20.00
$ 36.00
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