HomeMy WebLinkAboutPermit Electrical 1992-8-10
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225 FIFTH STREET ELECTRICAL PERMIT APPLICATION
SPRINGFIELD, OREGON 97477 'The followIng project
INSPECTION REQUEST: 726-3769~~~;~g. rnd does not :;~~;:'~:dr{wll~rol16tl1n~umber 72~C?
OFFICE: 726-3759 va, Cllcland'use
2oning-.C! f3 ,) COMPLETE FEE SCIfEDULE BELOIl
1. LOCATION OF INSTALLATION Date 6'((J .l("c; -
7/0 MAlA) <;r A. (New Residential-Single or
"'....y,.."" :;igneture I HMul ti-Family per dwelling uni t.
SeYvi~~ in~d:
LEGAL DESCRIPTION
/7-03-3<::;- <'/<.
, ~.,:>on
JOB DESCRIPTION
l.~o I< "p /.U4"1 pu_p
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 B.
Electrical Contractor PA1"'Nc,.It.S (?teeT
Address
/0 b r- c.-.I' ......,../
Ci ty IiivA W-.
Phone 1.vl-7l1Qt
Supervisor License Number ). 7 15>- S
Expiration Date
/0 - I - 9 ...
Constr Contr. Number 7,b ~ /7
Expiration Date. if -I 'S -'71/
Signa
rviSi:Z~
( ..........
?
Owners Nanie
Address
City
Phone
OVNER INSTALLATION
The installation is being made on
property I own which is not intended
for sale, lease or rent,
Ovners Signature:
---------------------------------------
DATE: j?-A::; -9<
RECEIPT 11: ~71
RECEIVED BY:...........-4;-',-. _~_-!""'
'l" -
*
Items
Cost
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
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
$ 40,00
$ 55,00
$ 80,00
volts see "B" above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Ci,rcui t
Each Additional
Circuit or with Service
or Feeder Permit
> s- .:n:>
$ 35.00
$ 2.00
E, Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation $ 40.00
Sign/Outline Lightin~ $ 40,00
Limited Energy/Res $ 20.00
Limited Energy/Comm $ 36,00
5. SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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