HomeMy WebLinkAboutPermit Electrical 1992-4-30
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TI ELECTRICAL PERMIT APPLICATION
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726-3769'Proval, oes not rllc;..:'emltlaa, h.:N~J:~IIJob Number ()
SPOCific/8(j(jllf18 """it I
on~Q COMPLETE FEE SCHEDULE BELOY
225 FIFTH STREET
SPRINGFIELD~ OREGON
INSPECTION REQUEST:
OFFICE: 726-3759
1. LOCATION OF INSTALLATIO~IO
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JO.B DESquPTION" '
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Permits are non-transferable and expire
if york is not started vi thin 180 days
of issuance or if york is suspended'for
180 days.
2. CONTRACTOR INSTALLATION ONLY
Electrical Contractor Palmer/Philips
Address 3170 Meadow Lane
City .Eugene
Phone
688-6121 '
Supervisor License Number
Expi~ation Date 10/91
Constr Contr. ,Number 20-179C
Expiration Date__;J0/91 '
. tU~I/ /
Slgna~Upervi i
/ /
Ovners Namy
Address
City
Phone
OYNER INSTALLATION
The installation is being made on .
property'I ovn vhich is not intended,
for sale, lease or rent.
Ovners Signature:
D~~~~------~-~~-~---~------')--
RECEIPT I: J '-. ~~-
RECEIVED BY: t1) 1/ f) _ )
Nev Residential-Single or
Multi Family per dvelling
Included:
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Items
uni t.
Cost
Sum
$ 85,00
$ 15.00
$ 40.00
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
$ 50,00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
C. 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
Nev, Alteration or Extension Per Panel
One Ci,rcuit
Each Addi tional
Circuit or vith Service
or Feeder Permit ,
$ 35,00 i1i.OD
$ 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 ABOVE
5% State Surcharge
TOTAL
~,iJO
J ,1':7
30.-;b
....
.
CITY OF SPRINGFIELD
Development Services
225 North 5th Street
.
Building Division
/"
Job No,.
JOB ADDRESS
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Date, t./-~/- <r;;-
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TO:
~
/'('1>01 o/?t"urr<. /iltnlour P,eRM /,- /,J BAm/C"<!70M A-/}L>/n~.AL'
PLEASe:. PURatASE' A ~35~ + 5%
PUt,"::, lSt<<>P. FeE G>~ ~35
PERMrr,
.
HCI'tSE EiJClPSc:. nus ^,077~€' bJ17J./ ytn<J{' &Ie-a::...
CALL FOR REINSPECTION. INSPECTOR p~
... 'CALL FOR: - lNSPECTION 726~3769 ~ J;FORMATlON: 726.3759....