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HomeMy WebLinkAboutPermit Electrical 1992-08-07st,rttN(;FrI:Lo Al 1 225 FIFTII STREET SPRINGFIELD, OREGON 97477 INSPECTION REQUESTz 726-3769 0FFICE: 726-3759 0r Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for 180 days. 2. COI\ITRACTOR Electrical Con Add ress Ci ty ?;;un O Phonea\--vSupervisor Li-cense Number ps\qq Expiration Date Constr Contr. Number Expiration Date 5' Signatu re of Supe rvising Blectrician I ers Name ELECTRICAL PER}IIT APPLICATION City Job Number qsl COHPI.ATE FEE SCBEDULE BBLOS Nev Residential-Sing1e or HuIti-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereo f Each Manuf'd Home or Modular Dwelling Service or Feeder $ 8s.00 $ 1s.00 $ 40.00 3 A Sum ON ONIY 0ver 1000 amps/volts Reconnect On1y Temporary Services or Feeders Insta1lation, Alteration or Relocation D. Branch Circuits Nev, Alteration or Extension Per Pane} $ 3s.00 B. Services or Feeders Installation, Alterations or' Relocation: Ir less Io 400 amps o 600 amps _o 1000 amps_ c One Circui t Each Addi tional Circuit or vith Service or Feeder Permit Miscellaneous (Service/feeder -Each installation Pump or irrigation $ Sign/0ut1ine Lighting- $ Limi ted Energy/Res $ Limited Energy/Comm S SUBTOTAL OP ABOVB 5Z State Surcharge TOTAL 200 amps or less $ 40.00 Over 401 to 600 amps _ S 80.00 0ver 600 amps or L000 volts see rrBrr above tractor #ll l2oo amps 5Do t t t 201 amps 401 amps 601 amps $ s0.00 $ 60.00 $100.00 $130.00 s300.00 $ 40.00 1^-Address Ci ty Phone OVNER TION The installation is being made on property I ovn vhich is not intended for sale, lease or rent. 0nners Signature: DATE: E 5 $ 2.00 not included) 40.00 40.00 20. oo RECEIVED BY: @ C'fY OF :;rrrtltY(;l:tr:LL) eb 225 FIFTII STRBEf, SPRTNGFTELD, oREGoN 97477 INSPEGII0N REQIESTT 726-3769 0FPICE: 726-3759 1 0r PTI Permits are non-transferable and expireif vork is not started vithin 180 days of issuance or if vork is suspended for 180 days. 2. COIITRA TOR ONLY Electrical Contracto Address ELECTRICAL PERHIT APPLICATIONq&i A Ci ty Job Number 3 COHPLETE PEE SCTIEDULE BELOS Nev Residential-Single or Multi-FamiIy per dvelling unit. Service Included:Items Cost 1000 sq.ft. or less Each additional 500 sq. ft or portion thereof Each Hanuf'd Home or Modular Dvelling Service or lreeder $ Bs.oo $ 1s.00 $ 40.00 B Services or Feeders Installation, Alterations or ReIoca t ion: Sum .,,r-fltJCyn #ll l2oo amps or 201 amps to 401 amps to 601 amps to s amps amps 000 amps_ Over 1000 amps/volts Reconnect Only One Ci rcui t Each Addi t ional Ci rcui t or vi th Servi ce or Feeder Permit I 4 6 1 $ s0.00 $ 60.00 s100.00 $130.00 s300.00 $ 40.00 s 2.00 5O O Phone es, 00 00 Supervisor ,r\""r;-rrruu. 3R \q3 Expiration Date Constr Contr. Number Expiration Date 5' Temporary Services or Feeders Installation, Alteration or Relocation D. Branch Circuits 200 amps or less $ 40.00 201 amps to 400 amps _ $ 55.00 Over 401 to 600 amps _ $ 80.00 Over 600 amps or 1000 volts see I'Brr above c Signa of Supervising Electrician rs Name Address Ci ty Phone OIJNER ALLATION The installation is being made on property f ovn vhich is not intended for sale, Iease or rent. Ovners Signature: +N-S Nev, Alteration or Extension Per Pane1 s 3s.00 ct E. Hiscellaneous (Service/feeder not included) -[ach installation Pump or irrigation Sign/0ut1ine Lighting- Limi ted Energy/Res Limi ted Energy/Comm SUBTOTAL OF ABOVE 5X State Surcharge TOTAL $ 40.00 s 40.00 $ 20.00 s 36.00 DATE: RECEI PT RECBIVED BY 5 I Cf)