HomeMy WebLinkAboutPermit Electrical 1992-12-4
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225 FIITH STREET 2'110, fo!I~Wi;g proinc! "" 'U,bmittod roa" tho fol!oBt'eCTRICAL PERHIT ~PLICATION
SPRINGFIELD, OREGON 97;77~~~:af.nd doeD not ""qUl;~ speon!o !and lJC"
INSPECTION REQUEST: 726-37~J,n;n9. (C
OFFICE: 726-3759 Doto_td-. - q - 9-5. 3.
1. LOqJ;IONI ~F .INSTMJ:Ar:!,~~ Signaturo <' <::;
34-Lf ,....., AI.r\ 'J:t( ~ -.-' fi.
.14lGAL ~E, SqqPTI,(lN i 1 033';) 'J ~ 1/')
f<DUlL t<./'a V ~ I~
1\ \ fOB DESCRIP'lfION
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Permits are non-transferable and expire
if work is not started within 180 days
of issuance orif work is suspended for
'180 days.
2. CONTRACTOR INSTALLATION ONLY B.
Electrical Contractor.H8MdJon Qed:Y1~
Address 267_ lv, <;;'-k...-
city~/ Phone 4&s '!'Iss
Supervisor License Number \ 3 :3 8 - 5
Expiration Date \ 0 - \ -q S
Constr Contr. Number 2<t.IoSG
Expiration Date tD-\-q3
Signature of Supervising Electrician
~~~~~~, ,"
Owners Name
\d."^,,, ~()c)(~-h'ln
~l-/ C\ \tV\ ~
Address
Ci ty ~ Phone
OIINER INSTALLATION
The installation is being made on E.
property I own which is not inten~ed
for sale, lease or rent.
Owners Signature: ,~
DATE: ------'jl~ l 0\":)..-----------------
RECEIPT I: (#j ":>&>
RECEIVED BY: C'.C.,
City Job Number
C) d. / ip4~
COMPLETE FEE SCHEDULE BELOV
Ne~ ~~~~Jential-Single or
Multi-Family per dwelling
Service Included:
unit.
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:
\ -5 0'
200 amps or less $ 50.00 0;-
201 amps to 400 amps $ 60.00
401 amps to 600 amps $100.00
601 amps,to 1000 amps $130.00
Over 1000 amps/volts $300.00
Reconnect Only $ 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
$ 40.00
$ 55.00
$ 80.00
see liB"
above
D.
Branch Circuits
New, Alteration or Extension Per Panel
One Circuit $ 35.00
Each Additional
Circuit or with Service
or Feeder Permi t . $ 2.00
Miscellaneous (Service/feeder
-Each installation
Pump or irrigat'ion
Sign/Outline Lightin~
Limited Energy/Res
Limited Energy/Comm
not included)
5.
$ 40.00
$ 40.00
$ 20.00
$ 36.00
,~ .'
uO,-
(", :)Q
I') c. 00
SUBTOTAL OF ABOVE
5% State Surcharge
TOTAL
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