HomeMy WebLinkAboutPermit Electrical 1992-11-9
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225 FIFTH STREET ' ". "';:',i;Dj"I~.~t:~~~'~ as sUbmit! ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 " O"oqUiresp':;/~hesthefoll (ff\ V\ (\~
~NSPECTION REQUEST: 726-3769 ZOOi09~' c'H:Y';ta~lV~lImber -V.-j.. \1' 10
OFFICE: 726-3759 Oato ,/- cf- 0-':' ' , .
AU'.h -, ~3. COM E FEE SCDEDULE BELOI/
1. LOC~ION, QF INS1'A~LATl.Q.N ;:''':~d SigoatUre <:::r
\ () \ '.-4.... Q\(\ \\ ~~) ~)I..J 1I~~ Residen t ial-Single or
Mulllr.:Fam4~r dwelling unit.
Service Included:
Items Cos t
2. CONTRACTOR INSTALLATION ONLY
Electrical contract~r~ I. -1 \c\of_~ ,
Address jJq:=\ \'\\\l\ \\ rK-/ ' 200 amps or
City Y.tCJe\(J AQ llhone4gs -01~~i ::~: ~~
^ n,qn l\~ 601 amps to 1000 amps
Supervisor Li~nse Number ~ I~ Over 1000 amps/volts
\,r\ , \ .n S Reconnec t Only
Expiration Date \ )~\
Constr, Contr. Number 'oLJili.{o
\'d.\n.Cf;l
LEGAL .RE~ION
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..\ JOB DESCRIPTION .JL
<..\' ("\ J.. 1\ (" j I IA'~
Permits are non-transferable and expire
if work is not started within 180 days
of issuance or if work is suspended for
180 days.
Expiration Date
Signature of Supervising Electrician
,(l}tI.A:~/lg,~ '
Owners Name ~ ffi t\O r::z r dA . D.
Address J}!4Y, S (\1)~1 ,_ ~ ('~ Pc$ .
Ci ty 9 tT.LNL.Phone ~6r\P-(f445
. OI/NER INS~LLATION
The 'installation is being made on
property I own which is not intended
for sale, lease or rent.
Ovners Signature:
~A~;~~------------7f)~)Q~~LJ[T)-~-----
RECEIPT 11: '\ n" "lo..o\lf'
RECEIVED nY:~../YlL..J .
Sum
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dwelling
Service or Feeder
$ 85.00
$ 15.00
$ 40.00
B.
Services or Feeders
Installation, Alterations or
Relocation:
less
400 amps
600 amps
$ 50.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C.
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps
201 amps
Over /.01
Over 600
$ 40.00
$ 55.00
$ 80.00
see liD"
above
or less
to 400 amps
to 600 amps
amps or 1000
volts
Branch Ci rcuits
New, Alteration or Extension Per Panel
I
~
$ 35.00
One Circuit
Each Additional
Circuit or with Service
or Feeder Permi t , ~
2.00
(p
$
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 ABOVE 4\ .00
5% State Surcharge c-{) .()'-\
TOTAL 4-1., ,/)S