HomeMy WebLinkAboutPermit Electrical 1992-01-02TY OF
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225 FIFTE SI?.EE[
SPRTNGFTELD, oREGoN 97477
INSPECTION REQI EST z 7!.6-3
OFPICE: 726-3759 ...
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ELECTRTCAL PER}IIT APPLICATIONqlrs3u
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DESCRI
Permits are non-transferable and expireif vork is not started vithin 180 daysof issuance or if vork is suspended for
180 days.
2. COIiTRACTOR INSTALI^A'TION ONLY
Electrical Contrac tor ,fl /Z:
Address /C. /o 4 7
Ci ty Phone 22e ?5O3
Supervisor License Ndmber 2( 7/l
Expiration Date p d/L
constr Contr. Number SS"(s/
Expiration Date
Signature of Supervis Electrician
Ovners
Address
Ci ty Phone
TION
City Job Number
FEE SCEEDULE BELOS
Nev Residential-Single or
HuIti-Family per dvelling unit.
Service Included:
Items Cost
1000 sq.ft. or less $ 85.00
Each additional 500
sq. ft or portionthereof S 15.00
Each Hanuf'd Home or
-Modular Dvelling
Service or Feeder S 40.00
Services or Feeders
Installation, Alterations or
Relocat ion:
200 amps or less
201 amps to 400 amps
-401 amps to 600 amps
-601 amps to 1000 amps-
0ver 1000 amps/volts
Reconnect 0nly
Temporary Services or Feeders
Installation, Alteration or Relocation
200 amps or less $ 40.00
0ver 401 to 600 amps _ $ 80.00
Over 600 amps or 1000 volts see I'8" above
D. Branch Circuits
, Alteration or Extension Per Panel
1
A
Sum
B
$ s0.00
$ 60.00
$100.00
$130.00
$300.00
$ 40.00
s 3s.00
s 2.00
4F
C
LB
One Circui t
Each Addi tional
Circuit or vith Service
or Feeder Permi t
The installation is being made on
property I gvn vhich is not intendedfor sale, Iease or rent.
Ovners Signature:
E. Miscellaneous (Service/feeder not included'
-Each instaLlation
Pump or irrigation
Sign/outline Light ing-
Limited Energy/Res
Limited Energy/Comm
SI.,BTOTAL OF ABOVE
5f State Surcharge
TOTAL
00
00
00
00
@
$40
s40
s20
s36
5
DATE:
RECEIHT *:
)
RECEIVED B
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