HomeMy WebLinkAboutPermit Electrical 1992-03-18st'n1N(;FtI:LO
225 FIFTE STREET
SPRINGFTELD, oREGoN 97477
INSPBCTI0N RBQUBST. 726-3769
OPFTCE: 726-3759
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STIBTOTAL OF ABOVB
5Z State Surcharge
TOTAL
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PERHIT APPLICATION
ty Job Nunber q
BEE SCBEDULE BELOS
OF INSTATI,ATIOH Ifittfltr qu -
Permits are non-transferable and expirelf vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COMRACTOR INSTALI,ATION ONLY
Addres \iil rl 't\QI
A. Nev Residenti Single or
MuIti-FamiIy per dvelling unit.
Service Included:
Items Cost
B.
1000 sq.ft. or less
Each additional 500
sq. ft or portion
thereof
Each Manuf'd Home or
Modular Dvelling
Service or Feeder
$ 8s.00
s 1s.00
$ 40.00
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/vo1ts
Reconnect 0n1y
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
201 amps to 400 amps $ 55.00
over 4b1 to 6oo amps
-
$ 8o.oo
,
Over 600 amPs or 1000 volts see rBtr above
Branch Circuits
Nev, Alteration or Extension Per Panel
one Ci.rcuit $ 35.00
Each Additional
Circuit or vith Service
or Feeder Permit
-
$ 2.00
-Miscellaneous (Service/feeder not included)
tl
Sum
Electricar contractorl. W. btBngW,It0C
+11 ru$ s0.00
$ 60.00
$100.00
$130.00
s300.00
$ 40.00
Ci ty
Supe
Phone I +1 bG3 I
rvisor License Number 3Aqq5
Expiration Date r0 2"
Constr Contr. Number b
Expi ration Date ta-l ,qA
Signature of Supervising Electrician
Owners Name fttC"
Address 5D 3o
Ci ty 5 ,n""ilAb ,qt\
OVNER INSTALTATION
The installation is being made on
property I own vhich is not intended
for saIe, Iease or rent.
0vners Signature:
DATE:
RECBIPT
-Each installation
Pump or irrigation $
Sign/OutIine Lighting-- q
Limited EnergY/Res $
D
c.
E
40.00
40.00
20.00
36.00
5
C'TY OFSPR
RECEIVBD BY:
50.CO
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