HomeMy WebLinkAboutPermit Electrical 1992-04-24SID'IINGFIELO
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225 FIFTE STREET
SPRTNGFTELJ, OREGON 97477 ''
^.. 1" .EIJCTRICAL PERHTT APPLICATION
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INSPECf,I0N REQUEST: 726-37
0FFICE: 726-3759
1.LOCATION Or INSTALI,ATION .:]-'I :.
/J6 / Pn '/ER-o
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Ci ty Job Nusrber
COHPIJTE FEE SCEEDULE BELOV
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service fncluded:
I tems
69
Electrical Contrac ror(L
,h."" ?AL- 7503
Cos t
$ 8s.00
$ 1s.00
$ 40.00
A
B
Sum
Address
Ci ty
Permits are non-transferable and: expire
if vork is not started vithin 180 days
of issuance or if vork is suspended for
180 days.
2. CONTRACTOR INSTALI.AT
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereo f
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
Services or Feeders
Installation, Alterations or
Relocation:
200 amps or less I
201 amps to 400 amps _
401 amps to 600 amps _
601 amps to 1000 amps_
Over 1000 amps/volts
Reconnect 0n1y
STETOTAL OP ABOVE
5Z State Surcharge
TOTAL
7 $ s0.00
s 60.00
$100.00
$130.00
$300.00
$ 40.00
*
Supervisor License Ndmber
Expiration Date /o/or//z
Constr Contr. Number 36 {-r/c.
Signa ture o Blectrician
Ovners Name
Address b L
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less S 40.00
201 amps to 400 amps _ $ 55.00
0ver 401 to 500 amps _ $ 80.00
Over 600 amps or 1000 volts see trBtr above
s
Ci ty Phone
OgNER INSTALI"ATION
The installation is being made on
property I ovn vhich is not intended
for sale, lease or rent.
Onners Signature:
D. Branch Circuits
Nev, Alteration or Extension Per Panel
One Circuit S 35.00
Each Addi tional
Circuit or vith Service
or Feeder Permit $ 2.00
E. Miscellaneous (Service/feeder not included)
-Each installation
Pump or irrigation
sign/out1 ine Ligh t ing-
Limited Energy/Res
L
$ 40.00
s 40.00
s 20.00
$ 36.00
&.45
DATE:
RECEIPT
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RECEIVED BY:A-UrV..-lr--
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JOB DESCRIPTIONSst?:trcs ataP<{
Expiration oate,: 3,,/ 2 Y / 7 L//